This form is filed for each person to whom you have made a designated distribution or are treated as having made a distribution of $10 or more from profit-sharing orretirement plans, any individual retirement arrangements(IRAs), annuities, pensions, insurance contracts, survivor income benefit plans, permanent and total disability payments under life insurance contracts, charitable gift annuities, etc.
Form 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc., is a form by the Internal Revenue System (IRS) to report distributions from annuities, retirement plans, insurance contracts, pensions, IRAs, or profit-sharing plans. The amounts taxpayer needs to enter in this form are passive income and retirement plans.
The IRS 1099-R Form is one of the several forms in the 1099 series, which includes Form 1099-A, Acquisition or Abandonment of Secured Property, and Form 1099-NEC, Nonemployee Compensation. 1099 forms are used to report several types of income apart from their salaries, such as interest, dividends, or government payments.
You may download a PDF copy of the 1099 R Form on the IRS website. But you may electronically fill it out on PDFRun for your convenience.
Form 1099-R has six copies, namely:
The payer is required to fill out all the fields with their necessary information. The instructions provided below shall be applicable to all copies.
Payer’s Name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.
Enter the payer’s full legal name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number.
Enter the payer’s Tax Identification Number (TIN).
Enter the recipient’s Tax Identification Number (TIN).
Enter the recipient’s full legal name.
Street Address (including apt. no.)
Enter the recipient’s street address. If their address has an apartment number, include it in this section.
City or town, state or province, country, and ZIP or foreign postal code
Enter the recipient’s city or town, state or province, country, and ZIP or foreign postal code.
Enter the recipient’s account number.
Item 1 - Gross Distribution
Enter your gross distribution for the year.
Item 2a - Taxable Amount
Enter the taxable amount of your gross distribution.
Mark the appropriate box to determine if you determined the taxable amount in the distribution. You may select:
If you don’t know the taxable amount of the distribution, mark “taxable amount not determined.” If you made a total distribution of the balance, mark “Total distribution.”
Item 3 - Capital gain
Enter the amount of the distribution allocated to capital gains.
Item 4 - Federal income tax withheld
Enter the federal income tax withheld from your distribution, if any.
Item 5 - Employee contributions/Designated Roth contributions or insurance premiums
Enter the amount of the distribution allocated to employee contributions, designated Roth contributions, or insurance premiums.
Item 6 - Net unrealized appreciation in employer’s securities
Enter the net unrealized appreciation in your employer’s securities.
Item 7 - Distribution code(s)
Enter the distribution code specifying the type of distribution received. The distribution codes are the following:
If Code B is in Item 7 and an amount is reported in Item 11, see the instructions for Form 5239, Additional Taxes on Qualified Plans (Including IRAs) and Other Tax-Favored Accounts.
The distribution under Code U is not eligible for rollover.
Item 8 - Other
Enter additional information, if any.
Item 9a - Your percentage of total distribution
Enter the percentage of your total distribution.
Item 9b - Total employee contributions
Enter the total employee contributions.
Item 10 - Amount allocable to IRR within 5 years
Enter the amount allocable to IRR within five years.
Item 11 - 1st year of desig. Roth contrib.
Enter the first year you made a contribution to the designated Roth account
Item 12 - FATCA filing requirement
Mark the box if you are reporting to satisfy the FACTA filing requirement. If not, leave it unmarked.
Item 13 - Date of payment
Enter the date of payment for any reportable death benefits under section 6050Y, Returns Relating to Certain Life Insurance Contract Transactions.
Item 14 - State tax withheld
Enter the amount of the state tax withheld.
Item 15 - State/Payer’s state no.
Enter the state or payer’s state number.
Item 16 - State distribution
Enter the amount of the state distribution.
Item 17 - Local tax withheld
Enter the amount of the local tax withheld.
Item 18 - Name of locality
Enter the name of the locality where the local tax was withheld.
Item 19 - Local distribution
Enter the amount of the local distribution.
When completing Form 1099-R IRS, use the 2021 General Instructions for Certain Information Returns and the 2021 Instructions for Forms 1099-R and 5498. You may download these at the IRS website.
File Copy A of the IRS 1099-R Form with the IRS on or before February 28, 2022. But if you want to file the form electronically, you may do so until March 31, 2022.
The IRS does not provide a fill-in option for Copy A. The electronic copy must be filed using software that generates a file per Pub. 1220, Specifications for Electronic Filing of Forms.
Copies B, C, and 2 shall be furnished to the recipient by January 31, 2022.