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 2018. 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.
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 2018.
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.