IRS Form 1099-QA 2018 Distributions From Able Accounts

IRS Form 1099-QA or the "Distributions From Able Accounts" is a form issued by the U.S. Department of the Treasury - Internal Revenue Service.

A PDF of the latest IRS Form 1099-QA can be downloaded below or found on the U.S. Department of the Treasury - Internal Revenue Service Forms and Publications website.

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1A1A
VOID
CORRECTED
PAYER’S name, street address, city or town, state or province, country, ZIP
1 Gross distribution
OMB No. 1545-2262
or foreign postal code, and telephone no.
Distributions
2018
$
From ABLE
2 Earnings
Accounts
1099-QA
$
Form
Copy A
PAYER’S TIN
RECIPIENT’S TIN
3 Basis
4 Program-to-program
transfer
$
For
Internal Revenue
RECIPIENT’S name
5 Check if ABLE account
6 Check if the recipient is
Service Center
terminated in 2018
not the designated
beneficiary
File with Form 1096.
For Privacy Act
Street address (including apt. no.)
and Paperwork
Reduction Act
Notice, see the
City or town, state or province, country, and ZIP or foreign postal code
2018 General
Instructions for
Account number (see instructions)
Certain Information
Returns.
1099-QA
Form
Cat. No. 67554X
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
1A1A
VOID
CORRECTED
PAYER’S name, street address, city or town, state or province, country, ZIP
1 Gross distribution
OMB No. 1545-2262
or foreign postal code, and telephone no.
Distributions
2018
$
From ABLE
2 Earnings
Accounts
1099-QA
$
Form
Copy A
PAYER’S TIN
RECIPIENT’S TIN
3 Basis
4 Program-to-program
transfer
$
For
Internal Revenue
RECIPIENT’S name
5 Check if ABLE account
6 Check if the recipient is
Service Center
terminated in 2018
not the designated
beneficiary
File with Form 1096.
For Privacy Act
Street address (including apt. no.)
and Paperwork
Reduction Act
Notice, see the
City or town, state or province, country, and ZIP or foreign postal code
2018 General
Instructions for
Account number (see instructions)
Certain Information
Returns.
1099-QA
Form
Cat. No. 67554X
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
1 Gross distribution
OMB No. 1545-2262
or foreign postal code, and telephone no.
Distributions
2018
$
From ABLE
2 Earnings
Accounts
1099-QA
$
Form
Copy B
PAYER’S TIN
RECIPIENT’S TIN
3 Basis
4 Program-to-program
transfer
$
For Recipient
RECIPIENT’S name
5 If checked, ABLE account
6 If this box is checked, the
This is important tax
terminated in 2018
recipient is not the
information and is
designated beneficiary
being furnished to the
IRS. If you are required
Street address (including apt. no.)
to file a return, a
negligence penalty or
other sanction may be
City or town, state or province, country, and ZIP or foreign postal code
imposed on you if this
income is taxable and
the IRS determines that
Account number (see instructions)
it has not been
reported.
1099-QA
(keep for your records)
Form
www.irs.gov/Form1099QA
Department of the Treasury - Internal Revenue Service
Instructions for Recipient
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.
Recipient's taxpayer identification number (TIN). For your protection, this
Also see Form 5329 and its separate instructions.
form may show only the last four digits of your TIN (social security number
Box 3. Shows your basis in the gross distribution reported in box 1.
(SSN), individual taxpayer identification number (ITIN), or adoption taxpayer
Box 4. This box is checked if a program-to-program transfer was made from
identification number (ATIN)). However, the payer has reported your complete
this ABLE account to another ABLE account.
TIN to the IRS.
Box 5. This box is checked if the ABLE account was terminated in 2018.
Account number. May show an account or other unique number the payer has
Box 6. The designated beneficiary is the individual named in the document
assigned to distinguish your account.
creating the ABLE account to receive the benefit of the funds in the account. If
Box 1. Shows the gross distribution paid to you this year from an Achieving a
this box is checked, you are not the designated beneficiary of this ABLE
Better Life Experience (ABLE) savings account in 2018. Gross distribution
account. You and/or the designated beneficiary may be subject to additional
includes distributions from the ABLE account for both qualified and
taxes and/or penalties on the box 1 gross distribution. See Form 5329 and its
nonqualified disability expenses. The gross distribution also includes amounts
separate instructions and the Instructions for Form 1040 (line 21, “Other
distributed that the designated beneficiary intends to roll over to another ABLE
income”).
account, but does not include program-to-program transfers. A gross
Future developments. For the latest information about developments related to
distribution also includes a return of excess contributions plus earnings.
Form 1099-QA and its instructions, such as legislation enacted after they were
Box 2. Shows the earnings part of the gross distribution shown in box 1.
published, go to www.irs.gov/Form1099QA.
Generally, amounts distributed that are used to pay for qualified disability
VOID
CORRECTED
PAYER’S name, street address, city or town, state or province, country, ZIP
1 Gross distribution
OMB No. 1545-2262
or foreign postal code, and telephone no.
Distributions
2018
$
From ABLE
2 Earnings
Accounts
1099-QA
$
Form
PAYER’S TIN
RECIPIENT’S TIN
3 Basis
4 Program-to-program
Copy C
transfer
$
For Payer
RECIPIENT’S name
5 Check if ABLE account
6 Check if the recipient is
terminated in 2018
not the designated
For Privacy Act
beneficiary
and Paperwork
Reduction Act
Street address (including apt. no.)
Notice, see the
2018 General
City or town, state or province, country, and ZIP or foreign postal code
Instructions for
Certain
Account number (see instructions)
Information
Returns.
1099-QA
Form
www.irs.gov/Form1099QA
Department of the Treasury - Internal Revenue Service
Instructions for Payer
To complete Form 1099-QA, use:
File Copy A of this form with the IRS by February 28,
2019.
• the 2018 General Instructions for Certain Information
Returns, and
Need help? If you have questions about reporting on
Form 1099-QA, call the information reporting customer
• the 2018 Instructions for Form 1099-QA.
service site toll free at 866-455-7438 or 304-263-8700
To get or to order these instructions, go to
(not toll free). Persons with a hearing or speech
www.irs.gov/Form1099QA.
disability with access to TTY/TDD equipment can call
304-579-4827 (not toll free).
Due dates. Furnish Copy B of this form to the recipient
by January 31, 2019.

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