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LS WKS
Rev. 1/18

10211411

Ohio Individual Income Tax Lump Sum Credit Instructions
Ohio Revised Code Sections 5747.05 and 5747.055
The following information explains how the lump sum retire- Example A – Lump Sum Retirement Credit Calculation
ment credit and the lump sum distribution credit are calculated A taxpayer retires in 2017 and is 59 years old at the end of
for recipients of a qualifying lump sum distribution. You may 2017. The taxpayer receives a $60,000 lump sum retirement
be able to claim both credits for the same year. distribution, all of which is included in their Ohio adjusted
gross income. The taxpayer’s lump sum retirement credit is
Important: For tax years 2015 and later, both of these credits computed as follows:
are only available to taxpayers whose adjusted gross income
less exemptions (Ohio IT 1040, line 5) is less than $100,000. $60,000 lump sum distribution
$2,400 (amount of
in Ohio adjusted gross income
= qualifying retirement
Lump sum distribution defined (see Internal Revenue 25 years remaining life
income)
Code [I.R.C.] section 402(e)(4)(D)) – A lump sum distribu- (Table 2 on page 3)
tion is the payment of the employee’s entire balance from
either his/her employer’s qualified pension plan, his/her For $2,400, $50 is the corresponding credit (Table 1 on
employer’s qualified stock bonus plan or his/her employer’s page 3).
qualified profit-sharing plan. The balance need not be dis-
tributed in one payment but must be fully paid out within Then, $50 x 25 years = $1,250 (lump sum retirement credit).
one taxable year to the recipient in order for the distribu- If the tax on line 1 of the Ohio Schedule of Credits is $800,
tion to qualify as a lump sum distribution. Furthermore, to the taxpayer would compute the future annual retirement
qualify as a lump sum distribution, the distribution must credit as follows:
have been made:
$ 1,250 lump sum retirement credit
1. because of the participant’s death; OR -800 tax due
2. because of the participant’s separation from service (for $ 450 unused amount
this purpose, a self-employed person is not considered ÷ (25 - 1) remaining life (years minus one)
an employee); OR $ 18.75 future lump sum retirement credit (round to $19)
3. after the participant (only if self-employed) becomes dis- No annual retirement credit can be claimed on a future
abled as defined in I.R.C. section 72(m)(7). return to which the taxpayer is a party.
Note: Distributions from university retirement plans (see II. Lump Sum Distribution Credit
I.R.C. section 403(b)) and from government deferred com- R.C. section 5747.055 (G)
pensation plans (see I.R.C. section 457) do not qualify
for either the lump sum retirement credit or the lump sum This credit is taken in lieu of the $50 senior citizen credit.
distribution credit because these plans are not described in
I.R.C. section 401(a). To be eligible for the lump sum distribution credit, the recipient
of the qualifying lump sum distribution must be age 65 or older
I. Lump Sum Retirement Tax Credit in the year of receipt. It is not necessary for any portion of
Ohio Revised Code (R.C.) sections 5747.055 (C), (D), (E) the distribution to be included in Ohio adjusted gross income
to qualify for this credit.
This credit is taken in lieu of the annual retirement credit.
The credit is $50 times the recipient’s remaining life years
To be eligible for the lump sum retirement credit, the lump sum as determined from Table 2 on page 3. No senior citizen
distribution must have been received on account of retirement credit can be claimed on a future return to which the
and a portion of the distribution must be included in Ohio taxpayer is a party.
adjusted gross income reported on the Ohio IT 1040, line 3.
If the entire distribution is rolled over into an Individual Re-
tirement Account (IRA) or into another retirement plan trust,
no lump sum retirement credit is available. If a portion of the
distribution is rolled over, only the portion included in Ohio
adjusted gross income may be used to calculate the lump
sum retirement credit.
*The U.S. Sixth Circuit Court of Appeals, which has jurisdiction over Ohio,
has determined that actual separation of service may occur as a result of
an employer’s liquidation, merger or consolidation.
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10211411

Ohio Lump Sum Retirement/Distribution Credit Worksheet
Name: Year: SSN:
This worksheet is for the Ohio lump sum credits found on the Ohio Schedule of Credits. Include both pages of this worksheet
with your Ohio IT 1040 and the Ohio Schedule of Credits if you are taking either of the Ohio lump sum credits. Also include
copies of all your 1099-R forms.

Section I – Income Test for Tax Years 2015 and Later
If you are completing this worksheet for a tax year prior to 2015, you may skip this question and start with Section II.
Yes No
1. Is your adjusted gross income less exemptions (Ohio IT 1040, line 5) less than $100,000? ......................1. 
If you answered “No” to the above question, STOP. You are not eligible for either of the Ohio lump sum credits. If you an-
swered “Yes,” continue to Section II.
Section II – Determine If You Have a Qualified Lump Sum Distribution
1. Was the lump sum distributed from a qualified employee benefit plan, such as a pension, profit-sharing, Yes No
stock bonus, Keogh, IRC 401(k), STRS, PERS, SERS? .............................................................................1. 
2. Was the distribution the employee’s entire balance in the account? ............................................................2. 
3. Was the distribution paid within a single taxable year? ................................................................................3. 
4. Was the distribution made because either (a) the employee died, quit, retired, was laid off, fired, or was
age 59.5 or older, or (b) the taxpayer was self-employed and became permanently and totally disabled? .....4. 
If you answered “No” to any of the four questions above, STOP. You are not eligible for either of the Ohio lump sum credits.
If you answered “Yes” to all four questions, you may be eligible for one or both of the Ohio lump sum credits. Please proceed
to Sections III and IV.

Section III – Determine Eligibility for and Calculate the Lump Sum Retirement Credit
Complete sections I and II before completing this section. This credit is for taxpayers who have received a qualified lump
sum distribution on account of retirement and have included a portion of it in the calculation of line 3 of the Ohio income tax
return, IT 1040. This credit is taken in lieu of the annual retirement credit that would be taken in the same tax year.
Yes No
1. Did you receive the lump sum distribution on account of retirement? ..........................................................1. 
2. Is all or some portion of the distribution included in your Ohio adjusted gross income on line 3 of the
Ohio IT 1040? ..............................................................................................................................................2. 

If you answered “Yes” to both of the above questions, you are eligible for the lump sum retirement credit. Calculate the
credit as follows:
1. Amount of retirement income (non-lump sum retirement income, if any, and lump sum
distribution(s) included in Ohio adjusted gross income on the Ohio IT 1040, line 3 .............1. $
2. Lump sum distribution recipient’s age at the end of the taxable year of the distribution .......2.
3. “Multiple” from Table 2 (page 3) based on the age entered on line 2 ....................................3.
4. Divide line 1 by line 3 ............................................................................................................4. $
5. Retirement income credit from Table 1 (page 3) based on the amount on line 4 ..................5. $
6. Lump sum retirement credit (line 3 times line 5). Enter here and on the “lump sum
retirement credit” line on the Ohio Schedule of Credits ........................................................6. $

If the lump sum retirement credit exceeds the tax due, complete line 7; if not, stop here.
7. Future retirement credit carryforward to subsequent taxable years
a) Ohio tax due (line 1 on the Ohio Schedule of Credits) ...................................................7a. $
b) Unused amount (line 6 minus line 7a). If 0 or less, stop here .........................................7b. $
c) Line 3 minus 1 year ........................................................................................................7c.
d) Future annual retirement credit carryforward amount (line 7b divided by line 7c) ..........7d. $

If the lump sum retirement credit is used in its entirety, no lump sum retirement income credit or annual retirement income
credit can be claimed on any future Ohio IT 1040 return to which the taxpayer is a party. Enclose both pages of this worksheet
and all of your 1099-R forms with your Ohio IT 1040.
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                                                                                                                               LS WKS
                                                                                                                               Rev. 1/18
                                                                                                                               Page 3
                                      10211411

                Ohio Lump Sum Retirement/Distribution Credit Worksheet
Section IV – Determine Eligibility for and Calculate the Lump Sum Distribution Credit
Complete sections I and II before completing this section. This credit is for taxpayers who have received a qualified lump sum 
distribution and are age 65 or older in the current tax year. This credit is taken in lieu of the senior citizen credit that would 
be taken in the same tax year. A taxpayer may qualify for the credit even if s/he does not report any portion of the lump sum 
distribution in his/her Ohio adjusted gross income on line 3 of the Ohio IT 1040.
                                                                                                                               Yes No
1. Were you at least 65 years old by the end of the taxable year of the distribution? ......................................1. 

If you answered “Yes” to the above question, you are eligible for the lump sum distribution credit. Calculate the credit as follows:
1. Lump sum distribution recipient’s age at the end of the taxable year of the distribution .......1.  
2. “Multiple” from Table 2 (page 3) based on the age entered on line 1 ....................................2. 
3. Lump sum distribution credit (line 2 times $50; cannot exceed $1,000). Enter here and 
  on the “lump sum distribution credit” line on the Ohio Schedule of Credits ..........................3. $
If the lump sum distribution credit is used, no lump sum distribution credit or senior citizen credit can be claimed on any future 
Ohio IT 1040 return to which the taxpayer is a party. However, claiming the lump sum distribution credit on the Ohio IT 1040 
return does not make the taxpayer ineligible for the senior citizen credit available on the SD 100 return. Enclose both pages 
of this worksheet and all of your 1099-R forms with your Ohio IT 1040.

                         Table 1 – Retirement Income Credit Table
                      Amount of qualifying retirement income          Retirement income 
                     received and included in Ohio adjusted gross     credit for the 
                        income during the taxable year                taxable year
                      $   500 or less                                                  0
                     Over $   500, but not more than $1,500                      $  25
                     Over $1,500, but not more than $3,000                       $  50
                     Over $3,000, but not more than $5,000                       $  80
                     Over $5,000, but not more than $8,000                       $130
                     Over $8,000, but not more than $8,000  $200

Table 2 – Unisex Table Ordinary Life Annuities One Life – Expected Return Multiples
    (This life annuity table is to be used for distributions received on or after July 1, 1986.)
Age Multiple    Age  Multiple Age     Multiple Age                    Multiple   Age     Multiple             Age              Multiple
  5   76.6      24 58.0       43 39.6          62 22.5                           81 8.9                       100 2.7
  6 75.6        25 57.0       44 38.7          63 21.6                           82 8.4                       101 2.5
  7 74.7        26 56.0       45 37.7          64 20.8                           83 7.9                       102 2.3
  8 73.7        27 55.1       46 36.8          65 20.0                           84 7.4                       103 2.1
  9 72.7        28 54.1       47 35.9          66 19.2                           85 6.9                       104 1.9
10 71.7         29 53.1       48 34.9          67 18.4                           86 6.5                       105 1.8
11 70.7         30 52.2       49 34.0          68 17.6                           87 6.1                       106 1.6
12 69.7         31 51.2       50 33.1          69 16.8                           88 5.7                       107 1.4
13 68.8         32 50.2       51 32.2          70 16.0                           89 5.3                       108 1.3
14 67.8         33 49.3       52 31.3          71 15.3                           90 5.0                       109 1.1
15 66.8         34 48.3       53 30.4          72 14.6                           91 4.7                       110 1.0
16 65.8         35 47.3       54 29.5          73 13.9                           92 4.4                       111 0.9
17 64.8         36 46.4       55 28.6          74 13.2                           93 4.1                       112 0.8
18 63.9         37 45.4       56 27.7          75 12.5                           94 3.9                       113 0.7
19 62.9         38 44.4       57 26.8          76 11.9                           95 3.7                       114 0.6
20 61.9         39 43.5       58 25.9          77 11.2                           96 3.4                       115 0.5
21 60.9         40 42.5       59 25.0          78 10.6                           97 3.2
22 59.9         41 41.5       60 24.2          79 10.0                           98 3.0
23 59.0         42 40.6       61 23.3          80 9.5                            99 2.8

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