IRS Form 5498-QA "Able Account Contribution Information"

What Is IRS Form 5498-QA?

This is a tax form that was released by the Internal Revenue Service (IRS) - a subdivision of the U.S. Department of the Treasury on January 1, 2018. As of today, no separate filing guidelines for the form are provided by the IRS.

Form Details:

  • A 5-page form available for download in PDF;
  • Actual and valid for filing 2020 taxes;
  • Editable, printable, and free;

Download a fillable version of IRS Form 5498-QA through the link below or browse more documents in our library of IRS Forms.

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Download IRS Form 5498-QA "Able Account Contribution Information"

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VOID
CORRECTED
2A2A
1 ABLE contributions
OMB No. 1545-2262
ISSUER'S name, street address, city or town, state or province, country, and
ZIP or foreign postal code
ABLE Account
2018
$
Contribution
2 Rollover contributions
Information
5498-QA
$
Form
Copy A
ISSUER’S TIN
BENEFICIARY'S TIN
3 Cumulative contributions
4 Fair market value
$
$
For
Internal Revenue
6 Basis of eligibility
BENEFICIARY'S name
5 Check if account opened
Service Center
in 2018
File with Form 1096.
Street address (including apt. no.)
7 Code
For Privacy Act and
Paperwork Reduction
Act Notice, see the
City or town, state or province, country, and ZIP or foreign postal code
2018 General
Instructions for
Certain Information
Account number (see instructions)
Returns.
5498-QA
Form
Cat. No. 67556T
www.irs.gov/Form5498QA
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
2A2A
1 ABLE contributions
OMB No. 1545-2262
ISSUER'S name, street address, city or town, state or province, country, and
ZIP or foreign postal code
ABLE Account
2018
$
Contribution
2 Rollover contributions
Information
5498-QA
$
Form
Copy A
ISSUER’S TIN
BENEFICIARY'S TIN
3 Cumulative contributions
4 Fair market value
$
$
For
Internal Revenue
6 Basis of eligibility
BENEFICIARY'S name
5 Check if account opened
Service Center
in 2018
File with Form 1096.
Street address (including apt. no.)
7 Code
For Privacy Act and
Paperwork Reduction
Act Notice, see the
City or town, state or province, country, and ZIP or foreign postal code
2018 General
Instructions for
Certain Information
Account number (see instructions)
Returns.
5498-QA
Form
Cat. No. 67556T
www.irs.gov/Form5498QA
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
1 ABLE contributions
OMB No. 1545-2262
ISSUER'S name, street address, city or town, state or province, country, and
ZIP or foreign postal code
ABLE Account
2018
$
Contribution
2 Rollover contributions
Information
5498-QA
$
Form
Copy B
ISSUER’S TIN
BENEFICIARY'S TIN
3 Cumulative contributions
4 Fair market value
$
$
For Beneficiary
6 Basis of eligibility
BENEFICIARY'S name
5 If checked, account was
opened in 2018
This information
is being furnished
to the IRS.
Street address (including apt. no.)
7 Code
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions)
5498-QA
(keep for your records)
Form
www.irs.gov/Form5498QA
Department of the Treasury - Internal Revenue Service
Instructions for Beneficiary
from one ABLE account to another ABLE account for the benefit of
the named beneficiary or of an eligible individual who is a member of
The information on Form 5498-QA is furnished to you by the issuer of
the beneficiary's family who is described in section 152(d)(2)(B) is not
your Achieving a Better Life Experience (ABLE) savings account. Form
taxable.
5498-QA reports contributions, rollovers, and program-to-program
Box 3. May show the cumulative amount contributed since the
transfers to this ABLE account for 2018. For more information, see
establishment of the ABLE account (or of an ABLE account of the
Pub. 907.
same designated beneficiary that was rolled over, or directly
Beneficiary's taxpayer identification number (TIN). For your
transferred (in a program-to-program transfer), to the current ABLE
protection, this form may show only the last four digits of your TIN
account).
(social security number (SSN), individual taxpayer identification
Box 4. Shows the FMV of the ABLE account as of the end of the year.
number (ITIN), or adoption taxpayer identification number (ATIN)).
Box 5. The ABLE account was opened in 2018 if the box is checked.
However, the issuer has reported your complete TIN to the IRS.
Box 6. These codes show the basis for your ABLE account eligibility.
Account number. May show an account or other unique number the
A—eligibility established under 529A(e)(1)(A), SSDI, Title II SSA.
issuer assigned to distinguish your account.
B—eligibility established under 529A(e)(1)(A), SSI, Title XVI SSA.
Box 1. Shows the amount of contributions made to this ABLE account
C—eligibility established by disability certification under section
in 2018. Do not deduct these amounts on your income tax return.
529A(e)(1)(B).
If the total contributions (including any contributions from a section
Box 7. These codes show the type of disability for which you are
529 program) made to your ABLE account for 2018 exceeded $15,000
receiving ABLE account qualifying benefits. 1—developmental
plus, in the case of an employed designated beneficiary, the
disorders (including autism); 2—intellectual disability; 3—psychiatric
applicable amount under section 529A(b)(2)(B)(ii), the excess
disorders; 4—nervous disorders (including blindness and deafness);
contributions, plus the earnings on them, must be returned by the
5—congenital anomalies (including Down syndrome); 6—respiratory
date your tax return is due (including extensions), or you may owe a
disorders; 7—other.
penalty. Check with your ABLE program to verify that excess
Future developments. For the latest information about developments
contributions and earnings are returned timely. You must keep track
related to Form 5498-QA and its instructions, such as legislation
of your ABLE account basis (contributions and distributions).
enacted after they were published, go to www.irs.gov/Form5498QA.
Box 2. Shows the amount of any rollover or program-to-program transfer
made to this ABLE account in 2018. Generally, any amount rolled over
VOID
CORRECTED
1 ABLE contributions
OMB No. 1545-2262
ISSUER'S name, street address, city or town, state or province, country, and
ZIP or foreign postal code
ABLE Account
2018
$
Contribution
2 Rollover contributions
Information
5498-QA
$
Form
Copy C
ISSUER’S TIN
BENEFICIARY'S TIN
3 Cumulative contributions
4 Fair market value
$
$
For Issuer
6 Basis of eligibility
BENEFICIARY'S name
5 Check if account opened
in 2018
For Privacy Act
and Paperwork
Reduction Act
7 Code
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
Information
Account number (see instructions)
Returns.
5498-QA
Form
www.irs.gov/Form5498QA
Department of the Treasury - Internal Revenue Service
Instructions for Issuer
File Copy A of this form with the IRS by May 31, 2019.
To complete Form 5498-QA, use:
Need help? If you have questions about reporting on
• the 2018 General Instructions for Certain Information
Form 5498-QA, call the information reporting customer
Returns, and
service site toll free at 1-866-455-7438 or 304-263-8700
• the 2018 Instructions for Form 5498-QA.
(not toll free). Persons with a hearing or speech
To get or to order these instructions, go to
disability with access to TTY/TDD equipment can call
www.irs.gov/Form5498QA.
304-579-4827 (not toll free).
Due dates. Furnish Copy B of this form to the
beneficiary (participant) by March 15, 2019.