Instructions for Form 5329

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1 2010 Instructions for Form 5329 Additional Taxes on Qualified Plans (Including IRAs) and Other Tax-Favored Accounts Department of the Treasury Internal Revenue Service Section references are to the Internal instructions for Form 1040, line 58, or instructions for Form 1040 or Form Revenue Code unless otherwise noted. Form 1040NR, line 56, for how to report 1040NR, or go to IRS.gov. the additional 10% tax directly on that Prior tax years. If you are filing Form General Instructions line for a prior year, you must use that You received an early distribution year s version of the form. If you do not What s New subject to the tax on early distributions have other changes and have not from a qualified retirement plan (other previously filed a federal income tax In-plan rollovers to designated Roth than a Roth IRA), you meet an return for that year, file Form 5329 by accounts. After September 27, 2010, exception to the tax on early itself (discussed earlier). If you have if you are a plan participant in a 401(k) distributions, and distribution code 1 is other changes, file Form 5329 for that or 403(b) plan, your plan may permit shown in box 7 of Form 1099-R. year with Form 1040X, Amended U.S. you to roll over amounts from those You received an early distribution Individual Income Tax Return. plans to a designated Roth account subject to the tax on early distributions within the same plan (in-plan Roth from a qualified retirement plan (other rollover). The rollover of any untaxed Definitions than a Roth IRA), you meet an amounts must be included in income. If exception to the tax on early Qualified retirement plan. A qualified you take an early distribution from your distributions from the list on page 3 but retirement plan includes: designated Roth account, allocable to box 7 of your Form 1099-R does not A qualified pension, profit-sharing, or an in-plan Roth rollover, the distribution indicate an exception or the exception stock bonus plan (including a 401(k) may be subject to the 10% additional does not apply to the entire distribution. plan), tax on early distributions. See In-plan You received taxable distributions A tax-sheltered annuity contract, Roth Rollovers on page 2 for more from Coverdell ESAs or QTPs. A qualified annuity plan, and details. The contributions for 2010 to your An IRA. Qualified charitable distributions traditional IRAs, Roth IRAs, Coverdell For purposes of the additional tax on (QCDs). You can elect to have QCDs ESAs, Archer MSAs, or HSAs exceed early distributions, an eligible made in January 2011, treated as if your maximum contribution limit, or you governmental section 457 deferred made in If you make this election had a tax due from an excess compensation plan is treated as a the QCDs will count toward your contribution on line 17, 25, 33, 41, or 49 qualified retirement plan, but only to the minimum required distribution for of your 2009 Form extent that a distribution is attributable See Qualified charitable distributions in You did not receive the minimum to an amount transferred from a Pub. 590, Individual Retirement required distribution from your qualified qualified retirement plan (defined Arrangements (IRAs) for more retirement plan. above). information. If you rolled over part or all of a Note. Modified endowment contracts TIP distribution from a qualified are not qualified retirement plans. Purpose of Form retirement plan, the part rolled Use Form 5329 to report additional Traditional IRAs. For purposes of over is not subject to the additional tax taxes on: Form 5329, a traditional IRA is any IRA, on early distributions. See the IRAs, including a simplified employee pension instructions for Form 1040, lines 15a Other qualified retirement plans, (SEP) IRA, other than a SIMPLE IRA or and 15b or lines 16a and 16b; Form Modified endowment contracts, Roth IRA. 1040A, lines 11a and 11b or 12a and Coverdell ESAs, Early distribution. Generally, any 12b; or Form 1040NR, lines 16a and QTPs, distribution from your IRA, other 16b or 17a and 17b, for how to report Archer MSAs, or qualified retirement plan, or modified the rollover. HSAs. endowment contract before you reach age 59 1 /2 is an early distribution. Who Must File When and Where To File Rollover. Generally, a rollover is a You must file Form 5329 if any of the File Form 5329 with your 2010 Form tax-free distribution of assets from one following apply or Form 1040NR by the due date, qualified retirement plan that is You received an early distribution including extensions, of your Form reinvested in another plan or the same from a Roth IRA, the amount on line or Form 1040NR. plan. Generally, you must complete the of Form 8606, Nondeductible IRAs, is If you do not have to file a 2010 rollover within 60 days of receiving the more than zero, and you are required to income tax return, complete and file distribution. Any taxable amount not enter an amount that is more than zero Form 5329 by itself at the time and rolled over must be included in income on Form 5329, line 1 (see Exception for place you would be required to file and may be subject to the additional tax Roth IRA Distributions on page 2). Form 1040 or Form 1040NR. Be sure on early distributions. You received an early distribution to include your address on page 1 and You can roll over (convert) amounts subject to the tax on early distributions your signature and the date on page 2. from a qualified retirement plan to a from a qualified retirement plan (other Enclose, but do not attach, a check or Roth IRA. Any amount rolled over to a than a Roth IRA). However, if money order payable to United States Roth IRA is subject to the same rules distribution code 1 is correctly shown in Treasury for any taxes due. Write your for converting a traditional IRA to a box 7 of all your Forms 1099-R, and SSN and 2010 Form 5329 on the Roth IRA. You must include in your you owe the additional tax on each check. For information on other gross income distributions from a Form 1099-R, you do not have to file payment options, including credit or qualified retirement plan that you would Form Instead, see the debit card payments, see the have had to include in income if you Cat. No R

2 had not rolled them into a Roth IRA. contributions to your IRAs included in income in 2010, or Generally, the 10% tax on early Specific Instructions A modified endowment contract distributions does not apply. For more information, see chapter 2 of Pub Joint returns. If both you and your entered into after June 20, spouse are required to file Form 5329, complete a separate form for each of Certain prohibited transactions, such After September 27, 2010, if you are you. Include the combined tax on Form as borrowing from your IRA or pledging a participant in a 401(k) or 403(b) plan, 1040, line 58. your IRA assets as security for a loan, your plan may permit you to roll over are considered to be distributions and amounts from those plans to a Amended returns. If you are filing an may also cause you to owe the designated Roth account within the amended 2010 Form 5329, check the additional tax on early distributions. See same plan (in-plan Roth rollover). The box at the top of page 1 of the form. Do Pub. 590 for details. rollover of any untaxed amounts must not use the 2010 Form 5329 to amend be included in income. Generally, the your return for any other year. Instead, In-plan Roth Rollovers. If you 10% tax on early distributions does not see Prior tax years on page 1. received an early distribution from your apply. For more information, see Pub. designated Roth account, you must include on line 1 the amount allocable 575. Part I Additional Tax to the taxable amount of the in-plan on Early Distributions Roth rollover. This amount is the The IRS may waive the 60-day requirement if failing to waive it would In general, if you receive an early smaller of (a) Form 8606, line 23; or (b) be against equity or good conscience, distribution (including an involuntary the amount in the box to the far left of such as situations where a casualty, cashout) from an IRA, other qualified box 10 of your 2010 Form 1099-R. Also disaster, or other events beyond your retirement plan, or modified endowment include on line 1 any amount in box 2a reasonable control prevented you from contract, the part of the distribution of this 2010 Form 1099-R. For more meeting the 60-day requirement. Also, included in income generally is subject information on in-plan Roth rollovers, the 60-day period may be extended if to an additional 10% tax. But see see Pub you had a frozen deposit. See Pub. 590 Exception for Roth IRA Distributions on Exception for Roth IRA for details. this page. Distributions The additional tax on early Compensation. Compensation distributions does not apply to any of If you received an early distribution includes wages, salaries, tips, bonuses, the following: from a Roth IRA, first allocate the and other pay you receive for services A qualified HSA funding distribution amount on your 2010 Form 8606, line you perform. It also includes sales from an IRA (other than a SEP or 26, in the order shown, to the amounts commissions, commissions on SIMPLE IRA). See Pub. 969 for details. on the lines listed below (to the extent a insurance premiums, and pay based on A distribution from a traditional or prior year distribution was not allocable a percentage of profits. It includes net SIMPLE IRA that was converted to a to the amount). earnings from self-employment, but Roth IRA. Your 2010 Form 8606, line 27. only for a trade or business in which A rollover from a qualified retirement Your 2010 Form 8606, line 29. your personal services are a material plan to a Roth IRA. Your 1998 Form 8606, line 16. income-producing factor. In-plan rollover to a designated Roth Your 1998 Form 8606, line 15. account. Your 1999 Form 8606, line 16. For IRA purposes, earned income A distribution of certain excess IRA Your 1999 Form 8606, line 15. does not include any self-employed contributions (see the instructions for Your 2000 Form 8606, line 16. health insurance deduction you used in line 15 on page 4 and the instructions Your 2000 Form 8606, line 15. figuring the amount to enter on for line 23 on page 5). Your 2001 Form 8606, line 18. Schedule SE, line 3. Your 2001 Form 8606, line 17. Note. Any related earnings withdrawn Your 2002 Form 8606, line 18. For IRAs, treat nontaxable combat with excess contributions are subject to Your 2002 Form 8606, line 17. pay and any differential wage the additional tax on early distributions Your 2003 Form 8606, line 18. if you were under age 59 1 /2 payments, and all taxable alimony at the time Your 2003 Form 8606, line 17. received under a decree of divorce or of the distribution. Your 2004 Form 8606, line 18. separate maintenance as A distribution of excess contributions Your 2004 Form 8606, line 17. compensation. from a qualified cash or deferred Your 2005 Form 8606, line 18. arrangement. Your 2005 Form 8606, line 17. Compensation does not include any A distribution of excess aggregate Your 2006 Form 8606, line 18. amounts received as a pension or contributions to meet nondiscrimination Your 2006 Form 8606, line 17. annuity and does not include any requirements for employee Your 2007 Form 8606, line 18. amount received as deferred contributions and matching employer Your 2007 Form 8606, line 17. compensation. contributions. Your 2008 Form 8606, line 18. A distribution of excess deferrals. Your 2008 Form 8606, line 17. Taxable compensation is your A distribution from an eligible Your 2008 Form 1040, line 16b; compensation that is included in gross governmental section 457 deferred Form 1040A, line 12b; or Form income reduced by any deductions on compensation plan to the extent the 1040NR, line 17b.* Form 1040 or Form 1040NR, lines 27 distribution is not attributable to an Your 2008 Form 1040, line 16a; and 28, but not by any loss from amount transferred from a qualified Form 1040A, line 12a; or Form self-employment. retirement plan (excluding an eligible 1040NR, line 17a.** section 457 deferred compensation Your 2009 Form 8606, line 18. plan). Your 2009 Form 8606, line 17. Additional Information See the instructions for line 2 on Your 2009 Form 1040, line 16b; See Pub. 590; Pub. 560, Retirement page 3 for other distributions that are Form 1040A, line 12b; or Form Plans for Small Business; Pub. 575, not subject to the tax. 1040NR, line 17b.* Pension and Annuity Income; Pub. 969, Your 2009 Form 1040, line 16a; Health Savings Accounts and Other Line 1 Form 1040A, line 12a; or Form Tax-Favored Health Plans; Pub. 970, Enter the amount of early distributions 1040NR, line 17a.** Tax Benefits for Education; and Pub. included in income that you received Your 2010 Form 8606, line B, Information for Affected from: Your 2010 Form 8606, line 17. Taxpayers in the Midwestern Disaster A qualified retirement plan, including Your 2010 Form 8606, line 23. Areas. earnings on withdrawn excess Your 2010 Form 8606, line Instructions for Form 5329 (2010)

3 Your 2010 Form 8606, line 36. to the $1,000 remaining from your 2007 Distributions from a plan maintained Form 8606, line 17, and will not be by an employer if: *Only include those amounts rolled over subject to the additional tax on early 1. You separated from service by to a Roth IRA. distributions. March 1, 1986; **Only include any contributions Additional information. For more 2. As of March 1, 1986, your entire (usually Form 1099-R, box 5) that were details, see Are Distributions Taxable? interest was in pay status under a taxable to you when made and rolled in Pub written election that provides a specific over to a Roth IRA. schedule for distribution of your entire Then, include on line 1 of Form 5329 Line 2 interest; and the amount from your 2010 Form 8606, 3. The distribution is actually being line 36, plus the amount, if any, The additional tax on early distributions made under the written election. allocated to the amount on your 2010 does not apply to the distributions described below. Enter on line 2 the Distributions that are dividends paid Form 8606, line 27, and the amount, if amount that can be excluded. In the with respect to stock described in any, allocated to line 18 of your 2006 space provided, enter the applicable section 404(k). through 2010 Forms 8606, and line 23 exception number (01-12). Distributions from annuity contracts of your 2010 Form You need to to the extent that the distributions are also include on line 1, any amounts allocable to the investment in the allocated to your 2008 and 2009 Forms contract before August 14, , line 16b; Forms 1040A, line 12b; No. Exception and Form 1040NR, line 17b. Also 01 Qualified retirement plan distributions For additional exceptions that apply include the amount, if any, from your (does not apply to IRAs) you receive to annuities, see Pub Form 8606, line 27, on Form after separation from service in or after 5329, line 2, and enter exception the year you reach age 55 (age 50 for Line 4 number 09. qualified public safety employees). If any amount on line 3 was a If you entered amounts on your 02 Distributions made as part of a series of distribution from a SIMPLE IRA! 2010 Form 8606, lines 20a and substantially equal periodic payments received within 2 years from the date CAUTION 20b, or 25a and 25b (for Roth (made at least annually) for your life (or you first participated in the SIMPLE IRA IRA rollovers), see Additional Tax on life expectancy) or the joint lives (or joint plan, you must multiply that amount by Early Distributions in chapter 2 of Pub. life expectancies) of you and your 25% instead of 10%. These 590 for the amount to enter on Form designated beneficiary (if from an distributions are included in boxes , line 1. employer plan, payments must begin and 2a of Form 1099-R and are after separation from service). designated with code S in box 7. Note. Do not include any amounts attributable to in-plan Roth rollovers 03 Distributions due to total and permanent reported on your 2010 Form 8606, lines disability. Part II Additional Tax 22, 23, and 36. Also, if you were 04 Distributions due to death (does not instructed to enter -0- on your 2010 apply to modified endowment contracts). on Certain Distributions Form 8606, line 27, for this purpose, 05 Qualified retirement plan distributions up From Education figure any allocation for line 27 as if you to (1) the amount you paid for entered your qualified first-homebuyer Accounts unreimbursed medical expenses during distributions on Form 8606, line 27. the year minus (2) 7.5% of your Example. You converted $20,000 adjusted gross income for the year. Line 6 from a traditional IRA to a Roth IRA in 06 Qualified retirement plan distributions This tax does not apply to distributions 2006 and converted $10,000 in made to an alternate payee under a that are includible in income if: Your 2006 Form 8606 had $5,000 on qualified domestic relations order (does Made due to the death or disability of line 17 and $15,000 on line 18 and your not apply to IRAs). the beneficiary; 2007 Form 8606 had $3,000 on line IRA distributions made to unemployed Made on account of a tax-free and $7,000 on line 18. You made Roth individuals for health insurance scholarship, allowance, or payment IRA contributions of $2,000 for 2006 premiums. described in section 25A(g)(2); and You did not make any Roth Made because of attendance by the IRA conversions or contributions for 08 IRA distributions made for higher beneficiary at a U.S. military academy through 2010, or take any Roth education expenses. This exception applies only to the IRA distributions before IRA distributions made for purchase of a extent that the distribution does not On July 9, 2010, at age 53, you took first home, up to $10,000. exceed the costs of advanced a $33,000 distribution from your Roth 10 Distributions due to an IRS levy on the education (as defined in title 10 of the IRA. Your 2010 Form 8606 shows qualified retirement plan. U.S. Code) at the academy; or $33,000 on line 26; $29,000 on line 30 Included in income because you 11 Qualified distributions to reservists while ($33,000 minus $4,000 for your serving on active duty for at least 180 used the qualified education expenses contributions on line 29) and $0 on line days. to figure the American opportunity and 36 ($29,000 minus your basis in lifetime learning credits. conversions of $30,000). 12 Other (see Other, below). Also, enter this code if more than one exception Enter on line 6 the portion of line 5 First, $4,000 of the $33,000 is applies. that is excluded. allocated to your 2010 Form 8606, line 29; then $15,000 to your 2006 Form Part III Additional Tax to Traditional IRAs 8606, line 18; $5,000 to your 2006 Form 8606, line 17; and $7,000 to your Other. The following exceptions also 2007 Form 8606, line 18. The apply. remaining $2,000 is allocated to the Distributions incorrectly indicated as $3,000 on your 2007 Form 8606, line early distributions by code 1, J, or S in If you contributed more for 2010 than is 17. On line 1, enter $22,000 ($15,000 box 7 of Form 1099-R. Include on line 2 allowable or you had an amount on line allocated to your 2006 Form 8606, line the amount you received when you 17 of your 2009 Form 5329, you may 18, plus the $7,000 that was allocated were age 59 1 /2 or older. owe this tax. But you may be able to to your 2007 Form 8606, line 18). Distributions from a section 457 plan, avoid the tax on any 2010 excess If you take a Roth IRA distribution in which are not from a rollover from a contributions (see the instructions for 2011, the first $1,000 will be allocated qualified retirement plan. line 15 on page 4). Instructions for Form 5329 (2010) -3-

4 Line 9 Year(s) Contribution Contribution If you timely filed your return without limit limit if age withdrawing the excess contributions, Enter the amount from line 16 of your 50 or older you can still make the withdrawal no 2009 Form 5329 only if the amount on at the end of later than 6 months after the due date line 17 of your 2009 Form 5329 is more the year of your tax return, excluding extensions. than zero or $5,000 $6,000 If you do, file an amended return with 2009 Filed pursuant to section written at the top. Report any related Line or $4,000 $5,000 earnings for 2010 on the amended If you contributed less to your 2006 return and include an explanation of the traditional IRAs for 2010 than your 2005 $4,000 $4,500 withdrawal. Make any other necessary contribution limit for traditional IRAs, changes on the amended return (for enter the difference $3,000 $3,500 example, if you reported the through contributions as excess contributions 2004 If you are not married filing jointly, on your original return, include an 1997 $2,000 amended Form 5329 reflecting that the your contribution limit for traditional through withdrawn contributions are no longer IRAs is the smaller of your taxable 2001 treated as having been contributed). compensation (see page 2) or $5,000 ($6,000 if age 50 or older at the end of before $2, Part IV Additional Tax 2010). If you are married filing jointly, your contribution limit is generally $5,000 ($6,000 if age 50 or older at the to Roth IRAs If the total contributions for the year end of 2010) and your spouse s included employer contributions to a SEP, If you contributed more to your Roth contribution limit is $5,000 ($6,000 if increase that amount by the smaller of the IRA for 2010 than is allowable or you age 50 or older at the end of 2010). But amount of the employer contributions or: had an amount on line 25 of your 2009 if the combined taxable compensation Form 5329, you may owe this tax. But for you and your spouse is less than 2009 $49,000 you may be able to avoid the tax on $10,000 ($11,000 if one spouse is 50 or 2008 $46,000 any 2010 excess contributions (see the older at the end of 2010; $12,000 if instructions for line 23 on page 5). both spouses are 50 or older at the end 2007 $45,000 of 2010), see How Much Can Be 2006 $44,000 Line 18 Contributed? in Pub. 590 for special 2005 $42,000 rules. Enter the amount from line 24 of your 2004 $41, Form 5329 only if the amount on line 25 of your 2009 Form 5329 is more Also include on line 11a or 11b (line 2003 or 2002 $40,000 than zero. 11 for Form 1040NR) of the IRA 2001 $35,000 Deduction Worksheet in the instructions Line 19 for Form 1040 or Form 1040NR, line before 2001 $30,000 If you contributed less to your Roth 32, the smaller of (a) Form 5329, line IRAs for 2010 than your contribution 10, or (b) the excess, if any, of Form limit for Roth IRAs, enter the difference. 5329, line 9, over the sum of Form Line 15 Your contribution limit for Roth IRAs is 5329, lines 11 and 12. Enter the excess of your contributions generally your contribution limit for to traditional IRAs for 2010 (unless traditional IRAs (see the instructions for withdrawn see below) over your line 10 on page 3) reduced by the Line 11 contribution limit for traditional IRAs. amount you contributed to traditional Enter on line 11 any withdrawals from See the instructions for line 10 on page IRAs. But your contribution limit for your traditional IRAs that are included 3 to figure your contribution limit for Roth IRAs may be further reduced or in your income. Do not include any traditional IRAs. Any amount you eliminated if your modified AGI for Roth contribute for the year in which you IRA purposes is over: withdrawn contributions reported on reach age 70 1 $167,000 if married filing jointly or /2 line 12. or a later year is an excess contribution because your qualifying widow(er), contribution limit is zero. Do not include $0 if married filing separately and you Line 12 rollovers in figuring your excess lived with your spouse at any time in contributions. 2010, or Enter any excess contributions to your $105,000 for any other taxpayer. traditional IRAs for 1976 through 2008 You can withdraw some or all of your excess contributions for 2010 and they See Pub. 590 for details. that you had returned to you in 2010 and any 2009 excess contributions that will not be treated as having been Line 20 you had returned to you in 2010 after contributed if: You make the withdrawal by the due Generally, enter the amount from Form the due date (including extensions) of date, including extensions, of your , line 26, plus any qualified your 2009 income tax return, that are tax return, distributions. But if you withdrew the included on line 9, if: You do not claim a traditional IRA entire balance of all your Roth IRAs, do You did not claim a deduction for the deduction for the withdrawn not enter less than the amount on Form excess contributions and no traditional contributions, and 5329, line 18 (see Example). IRA deduction was allowable (without You withdraw any earnings on the Example. You contributed $1,000 regard to the modified AGI limitation) withdrawn contribution and include the to a Roth IRA in 2008, your only for the excess contributions, and earnings in gross income (see the contribution to Roth IRAs. In 2010, you Instructions for Form 8606 for details). discovered you were not eligible to The total contributions to your Also, if you had not reached age 59 1 /2 contribute to a Roth IRA in On traditional IRAs for the tax year for at the time of the withdrawal, include September 9, 2010, you withdrew $800, which the excess contributions were the earnings as an early distribution on the entire balance in the Roth IRA. You made were not more than the amounts line 1 of Form 5329 for the year in must file Form 5329 for 2008 and 2009 shown in the following table. which you report the earnings. to pay the additional taxes for those -4- Instructions for Form 5329 (2010)

5 years. When you complete Form 5329 Line 27 Line 35 for 2010, you enter $1,000 (not $800) on line 20, because you withdrew the entire balance. Line 23 Enter the excess of your contributions to Roth IRAs for 2010 (unless withdrawn see below) over your contribution limit for Roth IRAs (see the instructions for line 19 on page 4). Do not include rollovers from another Roth IRA or designated Roth account in Enter the excess, if any, of the maximum amount that can be contributed to your Coverdell ESAs for 2010 (see the instructions for line 31 below) over the amount actually contributed for Line 28 Enter your total distributions from Coverdell ESAs in Do not include rollovers or returned excess contributions. figuring your excess contributions. Line 39 Line 31 If your contribution limit for your Archer MSAs (the smaller of line 3 or line 4 of Form 8853, Archer MSAs and Long-Term Care Insurance Contracts) is greater than the contributions to your Archer MSAs for 2010, enter the difference on line 35. Also include on your 2010 Form 8853, line 5, the smaller of: Form 5329, line 35, or The excess, if any, of Form 5329, line 34, over Form 5329, line 36. You can withdraw some or all of your Enter the excess of your contributions excess contributions for 2010 and they Enter the excess of the contributions to to your Archer MSA for 2010 (from will not be treated as having been your Coverdell ESAs for 2010 (not Form 8853, line 2) over your contributed if: including rollovers) over your contribution limit (the smaller of line 3 or You make the withdrawal by the due contribution limit for Coverdell ESAs. line 4 of Form 8853). Also include on date, including extensions, of your 2010 Your contribution limit is the smaller of line 39 any excess contributions your tax return, and $2,000 or the sum of the maximum employer made. See the Instructions You withdraw any earnings on the amounts allowed to be contributed by for Form 8853 for details. withdrawn contributions and include the the contributor(s) to your Coverdell However, you can withdraw some or earnings in gross income (see the ESAs. The maximum contribution may all of the excess contributions for 2010 Instructions for Form 8606 for details). be limited based on the contributor s and they will not be treated as having Also, if you had not reached age 59 1 modified AGI. See Pub. 970 for details. /2 been contributed if: at the time of the withdrawal, include You can withdraw some or all of the You make the withdrawal by the due the earnings as an early distribution on excess contributions for 2010 and they date, including extensions, of your 2010 line 1 of Form 5329 for the year in will not be treated as having been tax return, and which you report the earnings. contributed if: You withdraw any income earned on You make the withdrawal before the withdrawn contributions and include Note. A Form 5329 is not required if June 1, 2011, and the earnings in gross income for the the excess Roth IRA contributions are year in which you receive the withdrawn not treated as having been contributed You also withdraw any income contributions and earnings. and you do not have any earnings to earned on the withdrawn contributions report as early distributions on the form. and include the earnings in gross Include the withdrawn contributions income for the year in which the and related earnings on Form 8853, If you timely filed your return without contribution was made. lines 6a and 6b. withdrawing the excess contributions, If you timely filed your return without you can still make the withdrawal no If you filed your return without withdrawing the excess contributions, later than 6 months after the due date withdrawing the excess contributions, you can still make the withdrawal no of your tax return, excluding extensions. you can still make the withdrawal, but it later than 6 months after the due date If you do, file an amended return with must be made before June 1, If of your tax return, excluding extensions. Filed pursuant to section you do, file an amended return. Report If you do, file an amended return with written at the top. Report any related any related earnings for 2010 on the Filed pursuant to section earnings for 2010 on the amended amended return and include an written at the top. Report any related return and include an explanation of the explanation of the withdrawal. Make earnings for 2010 on the amended withdrawal. Make any other necessary any other necessary changes on the return and include an explanation of the changes on the amended return (for amended return (for example, if you withdrawal. Make any other necessary example, if you reported the reported the contributions as excess changes on the amended return (for contributions as excess contributions contributions on your original return, example, if you reported the on your original return, include an include an amended Form 5329 contributions as excess contributions amended Form 5329 reflecting that the reflecting that the withdrawn on your original return, include an withdrawn contributions are no longer contributions are no longer treated as amended Form 5329 reflecting that the treated as having been contributed). having been contributed). withdrawn contributions are no longer treated as having been contributed). Part V Additional Tax to Coverdell ESAs Part VI Additional Tax to Archer MSAs Part VII Additional Tax to Health Savings Accounts (HSAs) If the contributions to your Coverdell If you or your employer contributed ESAs for 2010 were more than is more to your Archer MSA for 2010 than allowable or you had an amount on line is allowable or you had an amount on If you, someone on your behalf, or your 33 of your 2009 Form 5329, you may line 41 of your 2009 Form 5329, you employer contributed more to your owe this tax. But you may be able to may owe this tax. But you may be able HSAs for 2010 than is allowable or you avoid the tax on any 2010 excess to avoid the tax on any 2010 excess had an amount on line 49 of your 2009 contributions (see the instructions for contributions (see the instructions for Form 5329, you may owe this tax. But line 31 later). line 39 later). you may be able to avoid the tax on any 2010 excess contributions (see the Line 26 Line 34 instructions for line 47 on page 6). Enter the amount from line 32 of your Enter the amount from line 40 of your Line Form 5329 only if the amount on line 33 of your 2009 Form 5329 is more than zero. Instructions for Form 5329 (2010) 2009 Form 5329 only if the amount on line 41 of your 2009 Form 5329 is more than zero. -5- If your contribution limit for your HSAs (line 12 of Form 8889, Health Savings

6 Required Distributions Accounts (HSAs)) is greater than the 2. Enter RC and the amount you contributions you made to your HSAs want waived in parentheses on the (or those made on your behalf) for 2010 IRA (other than a Roth IRA). You dotted line next to line 52. Subtract this (Form 8889, line 2), enter the difference must start receiving distributions from amount from the total shortfall you on line 43. Also include on your 2010 your IRA by April 1 of the year following figured without regard to the waiver, Form 8889, line 13, the smaller of: the year in which you reach age 70 1 /2. and enter the result on line 52. Form 5329, line 43, or At that time, you can receive your entire 3. Complete line 53 as instructed. The excess, if any, of Form 5329, interest in the IRA or begin receiving You must pay any tax due that is line 42, over Form 5329, line 44. periodic distributions. If you choose to reported on line 53. receive periodic distributions, you must Line 47 receive a minimum required distribution The IRS will review the information Enter the excess of your contributions each year. You can figure the minimum you provide and decide whether to (including those made on your behalf) required distribution by dividing the grant your request for a waiver. to your HSAs for 2010 (Form 8889, line account balance of your IRAs (other For more details, see Pub ) over your contribution limit (Form than Roth IRAs) on December 31 of the 8889, line 12). Also include on line 47 year preceding the distribution by the Privacy Act and Paperwork any excess contributions your employer applicable life expectancy. For Reduction Act Notice. We ask for the made. See the instructions for Form applicable life expectancies, see Pub. information on this form to carry out the 8889 for details Internal Revenue laws of the United If the trustee, custodian, or issuer of States. We need this information to However, you can withdraw some or your IRA informs you of the minimum ensure that you are complying with all of the excess contributions for 2010 required distribution, you can use that these laws and to allow us to figure and and they will not be treated as having amount. collect the right amount of tax. You are been contributed if: required to give us this information if You make the withdrawal by the due If you have more than one IRA, you you made certain contributions or date, including extensions, of your 2010 can take the minimum required received certain distributions from return, and distribution from any one or more of the qualified plans, including IRAs, and You withdraw any income earned on individual IRAs. other tax-favored accounts. Our legal the withdrawn contributions and include For more details on the minimum right to ask for the information the earnings in gross income for the distribution rules (including examples), requested on this form is sections year in which you receive the withdrawn see Pub , 6011, 6012(a), and 6109 and contributions and earnings. A qualified charitable distribution their regulations. If you do not provide Include the withdrawn contributions TIP made in January 2011 may this information, or you provide and related earnings on Form 8889, count towards your 2010 incomplete or false information, you lines 14a and 14b. minimum required distribution. Be sure may be subject to penalties. If you timely filed your return without to enter this amount on line 51. See You are not required to provide the withdrawing the excess contributions, Qualified charitable distributions in information requested on a form that is you can still make the withdrawal no chapter 1 of Pub. 590 for more subject to the Paperwork Reduction Act later than 6 months after the due date information. unless the form displays a valid OMB of your tax return, excluding extensions. Roth IRA. There are no minimum control number. Books or records If you do, file an amended return with required distributions during the lifetime relating to a form or its instructions Filed pursuant to section of the owner of a Roth IRA. Following must be retained as long as their written at the top. Report any related the death of the Roth IRA owner, contents may become material in the earnings for 2010 on the amended required distribution rules apply to the administration of any Internal Revenue return and include an explanation of the beneficiary. See Pub. 590 for details. law. Generally, tax returns and return withdrawal. Make any other necessary Qualified retirement plans (other information are confidential, as required changes on the amended return (for than IRAs) and eligible section 457 by section However, we may give example, if you reported the deferred compensation plans. In this information to the Department of contributions as excess contributions general, you must begin receiving Justice for civil and criminal litigation, on your original return, include an distributions from your plan no later and to cities, states, the District of amended Form 5329 reflecting that the than April 1 following the later of (a) the Columbia, and U.S. commonwealths withdrawn contributions are no longer year in which you reach age 70 and possessions to carry out their tax treated as having been contributed). 1 /2 or (b) the year in which you retire. laws. We may also disclose this information to other countries under a Part VIII Additional Tax Exception. If you owned more than tax treaty, to federal and state agencies 5% of the employer maintaining the to enforce federal nontax criminal laws, on Excess Accumulation plan, you must begin receiving or to federal law enforcement and in Qualified Retirement distributions no later than April 1 of the intelligence agencies to combat year following the year in which you terrorism. Plans (Including IRAs) reach age 70 1 /2, regardless of when you retire. The average time and expenses You owe this tax if you do not receive required to complete and file this form the required minimum distribution from Your plan administrator should figure will vary depending on individual your qualified retirement plan, including the amount that must be distributed circumstances. For the estimated an IRA or an eligible section 457 each year. See Pub. 590 for more averages, see the instructions for your deferred compensation plan. The information on making this election. income tax return. additional tax is 50% of the excess Waiver of tax. The IRS can waive part If you have suggestions for making accumulation the difference between or all of this tax if you can show that this form simpler, we would be happy to the amount that was required to be any shortfall in the amount of hear from you. See the instructions for distributed and the amount that was distributions was due to reasonable your income tax return. actually distributed. The tax is due for the tax year that includes the last day by which the minimum required distribution is required to be taken. error and you are taking reasonable steps to remedy the shortfall. If you believe you qualify for this relief, attach a statement of explanation and file Form 5329 as follows. 1. Complete lines 50 and 51 as instructed. -6- Instructions for Form 5329 (2010)

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