Enlarge image | Attention: Copy A of this form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. The official printed version of Copy A of this IRS form is scannable, but the online version of it, printed from this website, is not. Do not print and file copy A downloaded from this website; a penalty may be imposed for filing with the IRS information return forms that can’t be scanned. See part O in the current General Instructions for Certain Information Returns, available at www.irs.gov/form1099, for more information about penalties. Please note that Copy B and other copies of this form, which appear in black, may be downloaded and printed and used to satisfy the requirement to provide the information to the recipient. To order official IRS information returns, which include a scannable Copy A for filing with the IRS and all other applicable copies of the form, visit www.IRS.gov/orderforms. Click on Employer and Information Returns, and we’ll mail you the forms you request and their instructions, as well as any publications you may order. Information returns may also be filed electronically using the IRS Filing Information Returns Electronically (FIRE) system (visit www.IRS.gov/FIRE) or the IRS Affordable Care Act Information Returns (AIR) program (visit www.IRS.gov/AIR). See IRS Publications 1141, 1167, and 1179 for more information about printing these tax forms. |
Enlarge image | 2828 VOID CORRECTED TRUSTEE’S or ISSUER’S name, street address, city or town, state or 1 IRA contributions (other OMB No. 1545-0747 province, country, and ZIP or foreign postal code than amounts in boxes 2–4, 8–10, 13a, and 14a) IRA 2023 Contribution $ 2 Rollover contributions Information $ Form 5498 3 Roth IRA conversion 4 Recharacterized amount contributions Copy A TRUSTEE’S or ISSUER’S TIN PARTICIPANT’S TIN $ $ For 5 FMV of account 6 Life insurance cost included in Internal Revenue box 1 Service Center $ $ File with Form 1096. PARTICIPANT’S name 7 IRA SEP SIMPLE Roth IRA 8 SEP contributions 9 SIMPLE contributions $ $ For Privacy Act Street address (including apt. no.) 10 Roth IRA contributions 11 Check if RMD for 2024 and Paperwork Reduction Act $ 12a RMD date 12b RMD amount Notice, see the 2023 General City or town, state or province, country, and ZIP or foreign postal code $ Instructions for 13a Postponed/late contrib. 13b Year 13c Code Certain $ Information 14a Repayments 14b Code Returns. $ Account number (see instructions) 15a FMV of certain specified 15b Code(s) assets $ Form 5498 Cat. No. 50010C www.irs.gov/Form5498 Department of the Treasury - Internal Revenue Service Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page |
Enlarge image | CORRECTED (if checked) TRUSTEE’S or ISSUER’S name, street address, city or town, state or 1 IRA contributions (other OMB No. 1545-0747 province, country, and ZIP or foreign postal code than amounts in boxes 2–4, 8–10, 13a, and 14a) IRA 2023 Contribution $ 2 Rollover contributions Information $ Form 5498 3 Roth IRA conversion 4 Recharacterized amount contributions Copy B TRUSTEE’S or ISSUER’S TIN PARTICIPANT’S TIN $ $ 5 FMV of account 6 Life insurance cost included in For box 1 Participant $ $ PARTICIPANT’S name 7 IRA SEP SIMPLE Roth IRA This information 8 SEP contributions 9 SIMPLE contributions is being $ $ furnished to Street address (including apt. no.) 10 Roth IRA contributions 11 If checked, required minimum the IRS. distribution for 2024 $ 12a RMD date 12b RMD amount City or town, state or province, country, and ZIP or foreign postal code $ 13a Postponed/late contrib. 13b Year 13c Code $ 14a Repayments 14b Code $ Account number (see instructions) 15a FMV of certain specified 15b Code(s) assets $ Form 5498 (keep for your records) www.irs.gov/Form5498 Department of the Treasury - Internal Revenue Service |
Enlarge image | Instructions for Participant Box 12a. Shows the date by which the RMD amount in box 12b must be distributed to The information on Form 5498 is submitted to the IRS by the trustee or issuer of your avoid the 50% excise tax on the undistributed amount for 2024. individual retirement arrangement (IRA) to report contributions, including any catch-up Box 12b. Shows the amount of the RMD for 2024. If box 11 is checked and there is no contributions, required minimum distributions (RMDs), and the fair market value (FMV) amount in this box, the trustee or issuer must provide you the amount or offer to of the account. For information about IRAs, see Pubs. 590-A, 590-B, and 560. calculate the amount in a separate statement by January 31, 2024. Participant’s taxpayer identification number (TIN). For your protection, this form Box 13a. Shows the amount of a late rollover contribution (more than 60 days after may show only the last four digits of your TIN (SSN, ITIN, ATIN, or EIN). However, the distribution) made in 2023 and certified by the participant, or a postponed contribution trustee or issuer has reported your complete TIN to the IRS. made in 2023 for a prior year. This amount is not reported in box 1 or 2. Account number. May show an account or other unique number the trustee or issuer Box 13b. Shows the year to which the postponed contribution in box 13a was assigned to distinguish your account. credited. If a late rollover contribution is shown in box 13a, this box will be blank. Box 1. Shows traditional IRA contributions for 2023 you made in 2023 and through Box 13c.For participants who made a postponed contribution due to an extension of the April 15, 2024. These contributions may be deductible on your Form 1040 or 1040-SR. contribution due date because of a federally designated disaster, shows the code FD. However, if you or your spouse was an active participant in an employer’s pension For participants who served in designated combat zones, qualified hazardous duty plan, these contributions may not be deductible. This box does not include amounts in areas, or direct support areas, shows the appropriate code. The codes are EO13239 boxes 2–4, 8–10, 13a, and 14a. for Afghanistan and associated direct support areas, EO12744 for the Arabian Box 2.Shows any rollover, including a direct rollover to a traditional IRA or Roth IRA, or a Peninsula areas, PL115-97 for the Sinai Peninsula of Egypt, and EO13119 (or qualified rollover contribution (including a military death gratuity or SGLI payment) to a PL106-21) for the Yugoslavia operations areas. For additional information, including a Roth IRA you made in 2023. It does not show any amounts you converted from your list of locations within the designated combat zones, qualified hazardous duty areas, traditional IRA, SEP IRA, or SIMPLE IRA to a Roth IRA. They are shown in box 3. It does and direct support areas, see Pub. 3. For updates to the list of locations, go to not show any late rollover contributions. They are shown in box 13a. See the Form 1040 www.irs.gov/Newsroom/Combat-Zones . or 1040-SR instructions for information on how to report rollovers. If you have ever made For a participant who makes a rollover of a qualified plan loan offset, shows the code PO. any nondeductible contributions to your traditional IRA or SEP IRA and you did not roll For a participant who has used the self-certification procedure for a late rollover over the total distribution, use Form 8606 to figure the taxable amount. If property was contribution, shows the code SC. rolled over, see Pub. 590-A. For a qualified rollover to a Roth IRA, also see Pub. 590-A. Box 14a. Shows the amount of any repayment of a qualified reservist distribution, a Box 3. Shows the amount converted from a traditional IRA, SEP IRA, or SIMPLE IRA qualified disaster distribution, or a qualified birth or adoption distribution. See Pub. to a Roth IRA in 2023. Use Form 8606 to figure the taxable amount. 590-A for reporting repayments. Box 4. Shows amounts recharacterized from transferring any part of the contribution Box 14b. Shows the code QR for the repayment of a qualified reservist distribution, (plus earnings) from one type of IRA to another. See Pub. 590-A. code DD for repayment of a qualified disaster distribution, or code BA for repayment Box 5. Shows the FMV of all investments in your account at year end. However, if a of a qualified birth or adoption distribution. decedent’s name is shown, the amount reported may be the FMV on the date of Box 15a. Shows the FMV of the investments in the IRA that are specified in the death. If the FMV shown is zero for a decedent, the executor or administrator of the categories identified in box 15b. estate may request a date-of-death value from the financial institution. Box 15b. The following codes show the type(s) of investments held in your account for Box 6. Shows for endowment contracts only the amount allocable to the cost of life which the FMV is required to be reported in box 15a. insurance. Subtract this amount from your allowable IRA contribution included in box 1 A—Stock or other ownership interest in a corporation that is not readily tradable on an to compute your IRA deduction. established securities market. Box 7. May show the kind of IRA reported on this Form 5498. B—Short- or long-term debt obligation that is not traded on an established securities market. Boxes 8 and 9. Show SEP (box 8) and SIMPLE (box 9) contributions made in 2023, C—Ownership interest in a limited liability company or similar entity (unless the including contributions made in 2023 for 2022, but not including contributions made in interest is traded on an established securities market). 2024 for 2023. If made by your employer, do not deduct on your income tax return. If you made the contributions as a self-employed person (or partner), they may be D—Real estate. deductible. See Pub. 560. E—Ownership interest in a partnership, trust, or similar entity (unless the interest is Box 10. Shows Roth IRA contributions you made in 2023 and through April 15, 2024. traded on an established securities market). Do not deduct on your income tax return. F—Option contract or similar product that is not offered for trade on an established Box 11. If the box is checked, you must take an RMD for 2024. An RMD may be option exchange. required even if the box is not checked. If you do not take the RMD for 2024, you are G—Other asset that does not have a readily available FMV. subject to a 50% excise tax on the amount not distributed. See Pub. 590-B for details. H—More than two types of assets (listed in A through G) are held in this IRA. |
Enlarge image | VOID CORRECTED TRUSTEE’S or ISSUER’S name, street address, city or town, state or 1 IRA contributions (other OMB No. 1545-0747 province, country, and ZIP or foreign postal code than amounts in boxes 2–4, 8–10, 13a, and 14a) IRA 2023 Contribution $ 2 Rollover contributions Information $ Form 5498 3 Roth IRA conversion 4 Recharacterized amount contributions Copy C TRUSTEE’S or ISSUER’S TIN PARTICIPANT’S TIN $ $ 5 FMV of account 6 Life insurance cost included in For box 1 Trustee or Issuer $ $ PARTICIPANT’S name 7 IRA SEP SIMPLE Roth IRA 8 SEP contributions 9 SIMPLE contributions $ $ For Privacy Act Street address (including apt. no.) 10 Roth IRA contributions 11 Check if RMD for 2024 and Paperwork Reduction Act $ 12a RMD date 12b RMD amount Notice, see the 2023 General City or town, state or province, country, and ZIP or foreign postal code $ Instructions for 13a Postponed/late contrib. 13b Year 13c Code Certain $ Information 14a Repayments 14b Code Returns. $ Account number (see instructions) 15a FMV of certain specified 15b Code(s) assets $ Form 5498 www.irs.gov/Form5498 Department of the Treasury - Internal Revenue Service |
Enlarge image | Instructions for Trustee or Issuer Filing and furnishing. For filing and furnishing instructions, including due dates, and requesting To complete Form 5498, use: filing or furnishing extensions, see the 2023 • The 2023 General Instructions for Certain General Instructions for Certain Information Information Returns, and Returns. • The 2023 Instructions for Forms 1099-R and Need help? If you have questions about reporting 5498. on Form 5498, call the Technical Services To order these instructions and additional forms, Operation (TSO) toll free at 866-455-7438 or go to www.irs.gov/EmployerForms. 304-263-8700 (not toll free). Deaf or hard of hearing customers may call any of our toll-free Caution: Because paper forms are scanned during numbers using their choice of relay service. processing, you cannot file certain Forms 1096, 1097, 1098, 1099, 3921, or 5498 that you print from the IRS website. |