Fillable Form 1099-Q: Copy A VOID CORRECTED Payments From (IRS)

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Form 1099-Q: Copy A VOID CORRECTED Payments From (IRS)

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Form 1099-Q
(Rev. November 2019)
For calendar year
20
Cat. No. 32223J
Payments From
Qualified
Education
Programs
(Under Sections
529 and 530)
Copy A
For
Internal Revenue
Service Center
Department of the Treasury - Internal Revenue Service
OMB No. 1545-1760
File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
current General
Instructions for
Certain Information
Returns.
3131
VOID CORRECTED
PAYER’S/TRUSTEE’S name, street address, city or town, state or province,
country, ZIP or foreign postal code, and telephone no.
PAYER’S/TRUSTEE’S TIN RECIPIENT’S TIN
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)
1 Gross distribution
$
2 Earnings
$
3 Basis
$
4 Trustee-to-trustee
transfer
5 Distribution is from:
• Qualified tuition program—
Private
or State
• Coverdell ESA
6 Check if the recipient is
not the designated
beneficiary
Form 1099-Q (Rev. 11-2019)
www.irs.gov/Form1099Q
Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page
Form 1099-Q
(Rev. November 2019)
For calendar year
20
Payments From
Qualified
Education
Programs
(Under Sections
529 and 530)
Copy B
For Recipient
Department of the Treasury - Internal Revenue Service
OMB No. 1545-1760
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.
CORRECTED (if checked)
PAYER’S/TRUSTEE’S name, street address, city or town, state or province,
country, ZIP or foreign postal code, and telephone no.
PAYER’S/TRUSTEE’S TIN RECIPIENT’S TIN
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)
1 Gross distribution
$
2 Earnings
$
3 Basis
$
4 Trustee-to-trustee
transfer
5 Distribution is from:
• Qualified tuition program—
Private
or State
• Coverdell ESA
6 If this box is checked, the
recipient is not the
designated beneficiary
If the fair market value (FMV) is shown below, see Pub. 970,
Tax Benefits for Education, for how to figure earnings.
Form 1099-Q (Rev. 11-2019)
(keep for your records)
www.irs.gov/Form1099Q
Instructions for Recipient
Distributions from Coverdell education savings accounts (CESAs) under section 530
and qualified tuition programs (QTPs) under section 529, including rollovers, may be
taxable. Nontaxable distributions from CESAs and QTPs are not required to be
reported on your income tax return. You must determine the taxability of any
distribution. See Pub. 970 and the Instructions for Forms 1040 and 1040-SR for more
information. Also see Form 5329 and its separate instructions.
Recipient’s taxpayer identification no. (TIN). For your protection, this form may
show only the last four digits of your TIN (SSN, ITIN, ATIN, or EIN). However, the payer
or trustee 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 (including in-kind distributions) paid to you this
year from a QTP or a CESA. This amount is the total of the amounts shown in boxes 2
and 3. See Pub. 970 for more information.
Caution: For CESA distributions (other than earnings on excess contributions) made during the
calendar year, the payer/trustee is not required to report amounts in boxes 2 and 3. Instead, the
payer/trustee may report the fair market value of the CESA as of December 31 of the calendar
year in the blank box below boxes 5 and 6. To figure your earnings and basis, use the Coverdell
ESA—Taxable Distributio
ns and Basis worksheet in Pub. 970.
Box 2. Shows the earnings part of the gross distribution shown in box 1. Generally,
amounts distributed that are used to pay for qualified education expenses, transferred
between trustees, or rolled over to another qualified education program or to an ABLE
account, within 60 days, are not included in income.
Under a QTP, the amount in box 2 is included in income if there has been (a) more
than one transfer or rollover within any 12-month period with respect to the same
beneficiary, or (b) a change in the designated beneficiary and the new designated
beneficiary is not a family member.
Under a CESA, the amount in box 2 is included in income if there has been a
change in the designated beneficiary and the new designated beneficiary is not a
family member or is over age 30 (except for beneficiaries with special needs).
Also, an additional 10% tax may apply to part or all of any amount included in
income from the CESA or QTP. See Form 5329 and your tax return instructions for
more information.
If a final (total) distribution is made from your account and you have not recovered
your contributions, see Pub. 970 to determine if you have a deductible loss and how to
claim it.
Box 3. Shows your basis in the gross distribution reported in box 1.
Box 4. This box is checked if a trustee-to-trustee transfer was made from one QTP to
another QTP, from one CESA to another CESA, from a CESA to a QTP, or from a QTP to an
ABLE account. However, in certain transfers from a CESA, the box will be blank.
Box 5. Shows whether the gross distribution was from a QTP (private or state) or from
a CESA.
Box 6. The designated beneficiary is the individual named in the document creating
the trust or custodial account to receive the benefit of the funds in the account. If you
are not the designated beneficiary, see Pub. 970 and the Instructions for Forms 1040
and 1040-SR.
Distribution codes. For the calendar year, the payer/trustee may, but is not required
to, report (in the box below boxes 5 and 6) one of the following codes to identify the
distribution you received: 1—Distributions (including transfers); 2—Excess
contributions plus earnings taxable in the calendar year; 3—Excess contributions plus
earnings taxable in the prior calendar year; 4—Disability; 5—Death; or 6—Prohibited
transaction.
Future developments. For the latest information about developments related to Form
1099-Q and its instructions, such as legislation enacted after they were published, go
to www.irs.gov/Form1099Q.
Form 1099-Q
(Rev. November 2019)
For calendar year
20
Payments From
Qualified
Education
Programs
(Under Sections
529 and 530)
Copy C
For Payer
Department of the Treasury - Internal Revenue Service
OMB No. 1545-1760
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
current General
Instructions for
Certain
Information
Returns.
VOID CORRECTED
PAYER’S/TRUSTEE’S name, street address, city or town, state or province,
country, ZIP or foreign postal code, and telephone no.
PAYER’S/TRUSTEE’S TIN RECIPIENT’S TIN
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)
1 Gross distribution
$
2 Earnings
$
3 Basis
$
4 Trustee-to-trustee
transfer
5 Distribution is from:
• Qualified tuition program—
Private
or State
• Coverdell ESA
6 Check if the recipient is
not the designated
beneficiary
Form 1099-Q (Rev. 11-2019)
www.irs.gov/Form1099Q
Instructions for Payer/Trustee
To complete Form 1099-Q, use:
• The current General Instructions for Certain
Information Returns, and
• The current Instructions for Form 1099-Q.
To order these instructions and additional forms, go
to www.irs.gov/Form1099Q.
Filing and furnishing. For filing and furnishing
instructions, including due dates, and to request filing or
furnishing extensions, see the current General
Instructions for Certain Information Returns.
To file electronically, you must have software that
generates a file according to the specifications in Pub.
1220.
Need help? If you have questions about reporting on
Form 1099-Q, call the information reporting customer
service site toll free at 866-455-7438 or 304-263-8700
(not toll free). Persons with a hearing or speech
disability with access to TTY/TDD equipment can call
304-579-4827 (not toll free).
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Form 1099-Q: Copy A VOID CORRECTED Payments From (IRS)

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Completed 16 August 2021

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