2015 form 1099-r distributions from pensions, annuities, retirement … ·  · 2016-04-072015 form...

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Form 1099-R Distributions From Pensions, Annuities, Retirement or Distributions From Pensions, Annuities, Retirement or 2015 Form 1099-R Profit-Sharing Plans, IRAs, Insurance Contracts, etc. Report this income on your federal tax return. If this OMB No. 1545-0119 Copy B Profit-Sharing Plans, IRAs, Insurance Contracts, etc. Page X of X form shows federal income tax withheld in Box 4, attach this copy to your return. This information is being furnished to the Internal Revenue Service. This Form 1099-R reports tax information for a single type of distribution from your retirement investments in T. Rowe Price mutual funds. We will 1. Gross distribution send you separate Form 1099-Rs for other distribution types. Distributions from T. Rowe Price funds held in a Brokerage account are reported on Form 2a. Taxable amount 1099-R, mailed separately from Pershing LLC. If T. Rowe Price withheld income tax from your distribution, you will need 2b. Taxable amount not determined to file the attached “Copy B” with your federal tax return and “Copy 2” with Total distribution your state and/or local tax return (if required). To remove these copies, cut 4. Federal income tax withheld along the dotted lines. Copy C, for your records, shows amounts attributed to each fund within the 5. Employee contributions/ Designated Roth contributions distribution. Copies B and 2 show only totals for the entire distribution, as or insurance premiums required by the Internal Revenue Service. Generally, we do not calculate how much tax you owe on your distribution. The amount we report as your Distribution code* IRA/SEP/SIMPLE 7. gross distribution (Box 1) and your taxable amount (Box 2a) are generally the same. For IRA distributions, you can determine your taxable amount 10. Amount allocable to IRR within 5 yrs. using , Distributions from Individual Retirement Arrangements Pub. 590-B (IRAs), and Form 8606, Nondeductible IRAs. Taxpayer: Taxpayer ID: XXX-XX-XXXX Payer: T. Rowe Price Trust Co. P.O. Box 17302 Baltimore, MD 21297-1302 Payer's ID: 11. 1st year of designated Roth contrib. 52-1309931 Important: For shareholders who had Roth conversions or IRA OMB. 1545-0119 recharacterizations during the tax year, the amounts shown in Box 1 on 12. State tax withheld 13. State/Payer's state no. This information is being furnished to the Internal Revenue Service. Payer's ID: 52-1309931 Taxpayer ID: XXX-XX-XXXX Copy C For Recipient's Records Copies C, B, and 2 may reflect aggregate distributions from multiple cut here transactions. Only a portion of these distributions may need to be reported Department of the Treasury - Internal Revenue Service on your tax return. To determine the taxable portion, please consult Pub. 590-B or a tax advisor before filing your taxes. Form 1099-R Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. Report amounts in Box 1 and Box 2a on IRS Form 1040, Line 15 or 16, Box 1 Box 2a Box 2b or Form 1040A, Line 11 or 12. File this copy with your state, city, or local income tax Taxable Total Copy 2 return, when required. amounts account Fund Name Account number Gross distribution Taxable amount determined? distribution? 1. Gross distribution Total 2a. Taxable amount 2b. Include federal tax withheld on IRS Form 1040 Taxable amount not determined Total distribution Box 4 Box 5 Box 7 Box 10 Box 11 Box 12 Box 13 4. Federal income tax withheld Is the Employee contributions 1st year of account /Designated Roth Amount allocable designated 5. Employee contributions/ an IRA, Federal income contributions or Distr. State tax State/Payer's Designated Roth contributions to IRR within 5 SEP, or Roth or insurance premiums years tax withheld insurance premiums code* SIMPLE? contributions withheld state no. Distribution code* IRA/SEP/SIMPLE 7. Amount allocable to IRR within 5 yrs. 10. 11. 1st year of designated Roth contrib. Taxpayer: Taxpayer ID: XXX-XX-XXXX Payer: Payer's ID: 52-1309931 12. State tax withheld 13. State/Payer's state no. OMB. 1545-0119 Department of the Treasury - Internal Revenue Service Boxes from IRS Form 1099-R that do not apply have been intentionally deleted. T. Rowe Price Trust Co. P.O. Box 17302 Baltimore, MD 21297-1302 1-800-225-5132 [email protected] T. Rowe Price Trust Co. P.O. Box 17302 Baltimore, MD 21297-1302

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Page 1: 2015 Form 1099-R Distributions From Pensions, Annuities, Retirement … ·  · 2016-04-072015 Form 1099-R Distributions From Pensions, Annuities, Retirement or Form 1099-R Distributions

Form 1099-R Distributions From Pensions, Annuities, Retirement orDistributions From Pensions, Annuities, Retirement or2015 Form 1099-R Profit-Sharing Plans, IRAs, Insurance Contracts, etc.Report this income on your federal tax return. If thisOMB No. 1545-0119 Copy B

Profit-Sharing Plans, IRAs, Insurance Contracts, etc.Page X of X form shows federal income tax withheld in Box 4,

attach this copy to your return. This information isbeing furnished to the Internal Revenue Service.This Form 1099-R reports tax information for a single type of distribution

from your retirement investments in T. Rowe Price mutual funds. We will1. Gross distributionsend you separate Form 1099-Rs for other distribution types. Distributions

from T. Rowe Price funds held in a Brokerage account are reported on Form2a. Taxable amount1099-R, mailed separately from Pershing LLC.

If T. Rowe Price withheld income tax from your distribution, you will need 2b. Taxable amount not determinedto file the attached “Copy B” with your federal tax return and “Copy 2” with Total distributionyour state and/or local tax return (if required). To remove these copies, cut

4. Federal income tax withheldalong the dotted lines.Copy C, for your records, shows amounts attributed to each fund within the 5. Employee contributions/

Designated Roth contributionsdistribution. Copies B and 2 show only totals for the entire distribution, asor insurance premiumsrequired by the Internal Revenue Service. Generally, we do not calculate

how much tax you owe on your distribution. The amount we report as your Distribution code* IRA/SEP/SIMPLE7.gross distribution (Box 1) and your taxable amount (Box 2a) are generallythe same. For IRA distributions, you can determine your taxable amount

10. Amount allocable to IRR within 5 yrs.using , Distributions from Individual Retirement ArrangementsPub. 590-B(IRAs), and Form 8606, Nondeductible IRAs.

Taxpayer:

Taxpayer ID: XXX-XX-XXXX

Payer:T. Rowe Price Trust Co.P.O. Box 17302Baltimore, MD 21297-1302Payer's ID:

11.1st year of designated Roth contrib.52-1309931Important: For shareholders who had Roth conversions or IRAOMB. 1545-0119recharacterizations during the tax year, the amounts shown in Box 1 on 12. State tax withheld 13. State/Payer's state no.

This information is being furnished to the Internal Revenue Service.

Payer's ID: 52-1309931

Taxpayer ID: XXX-XX-XXXX

Copy CFor Recipient's Records Copies C, B, and 2 may reflect aggregate distributions from multiple

cut heretransactions. Only a portion of these distributions may need to be reported Department of the Treasury - Internal Revenue Serviceon your tax return. To determine the taxable portion, please consult Pub.590-B or a tax advisor before filing your taxes.

Form 1099-R Distributions From Pensions, Annuities, Retirement orProfit-Sharing Plans, IRAs, Insurance Contracts, etc.Report amounts in Box 1 and Box 2a on IRS Form 1040, Line 15 or 16, Box 1 Box 2a Box 2b

or Form 1040A, Line 11 or 12. File this copy with your state, city, or local income taxTaxable Total Copy 2 return, when required.amounts accountFund Name Account number Gross distribution Taxable amountdetermined? distribution?

1. Gross distribution

Total 2a. Taxable amount

2b.Include federal tax withheld on IRS Form 1040 Taxable amount not determinedTotal distribution

Box 4 Box 5 Box 7 Box 10 Box 11 Box 12 Box 13 4. Federal income tax withheldIs theEmployee contributions 1st year ofaccount/Designated Roth Amount allocable designated 5. Employee contributions/an IRA,

Federal income contributions or Distr. State tax State/Payer's Designated Roth contributionsto IRR within 5SEP, or Rothor insurance premiumsyearstax withheld insurance premiums code* SIMPLE? contributions withheld state no.

Distribution code* IRA/SEP/SIMPLE7.

Amount allocable to IRR within 5 yrs.10.

11.1st year of designated Roth contrib.

Taxpayer:

Taxpayer ID: XXX-XX-XXXX

Payer:

Payer's ID:52-1309931

12. State tax withheld 13. State/Payer's state no.

OMB. 1545-0119Department of the Treasury - Internal Revenue Service

Boxes from IRS Form 1099-R that do not apply have been intentionally deleted.

T. Rowe Price Trust Co.P.O. Box 17302Baltimore, MD [email protected]

T. Rowe Price Trust Co.P.O. Box 17302Baltimore, MD 21297-1302

Page 2: 2015 Form 1099-R Distributions From Pensions, Annuities, Retirement … ·  · 2016-04-072015 Form 1099-R Distributions From Pensions, Annuities, Retirement or Form 1099-R Distributions

2015 Form 1099-RInstructions for Recipient Page X of X

you do not, you may be subject to a 50% If a charge or payment was made against the Box 4excise tax on the amount that should have cash value of an annuity contract or the cash Shows federal income tax withheld. Includebeen distributed. See , surrender value of a life insurance contract forPub. 590-B this amount on your income tax return asDistributions from Individual Retirement the purchase of qualified long-term care tax withheld, and if Box 4 shows anArrangements (IRAs), for more information insurance, an amount will be shown in this amount (other than zero), attach Copy Bon IRAs. box and Code W will be shown in Box 7. You to your return. Generally, if you will

need not report these amounts on your tax receive payments next year that are notRoth IRAs return. eligible rollover distributions, you canFor distributions from a Roth IRA, generally change your withholding or elect not to haveBox 2awe are not required to compute the taxableincome tax withheld by giving us FormThis part of the distribution is generallyamount. You must compute any taxableW-4P, Withholding Certificate for Pensiontaxable. If there is no entry in this box, weamount on Form 8606, Nondeductible IRAs.or Annuity Payments.may not have all the facts needed to figure theAn amount shown in Box 2a may be taxable

taxable amount. In that case, the first box inearnings on an excess contribution. Box 5Box 2b should be marked. You may want to Shows the portion that is your basis in aLoans treated as distributions refer to one of the free publications from the designated Roth account. This box does notIf you borrow money from a qualified plan, IRS to help you figure the taxable amount: show any IRA contributions. The year yousection 403(b) plan, or governmental section Pub. 560, Retirement Plans for Small first made contributions to the designated457(b) plan, you may have to treat the loan as Business (SEP, SIMPLE, and Qualified Roth account may be entered in Box 11.a distribution and include all or part of the Plans); , Tax-Sheltered AnnuityPub. 571amount borrowed in your income. There are Plans (403(b) Plans); ; ;Pub. 575 Pub. 590-B Box 7exceptions to this rule. If your loan is taxable, Pub. 721, Tax Guide to U.S. Civil Service Explanations for the types of distributionsCode L will be shown in Box 7. See Pub. Retirement Benefits; or , GeneralPub. 939 you received appear on the face of Form575, Pension and Annuity Income. Rule for Pensions and Annuities. For an IRA 1099-R. Certain distributions may be subjectdistribution, see and on thisIRAs Roth IRAs to an additional 10% tax. See theBox 1page. For a direct rollover, other than from aShows the total amount you received this year. instructions for Forms 5329, Additionalqualified plan to a Roth IRA, zero should beThe amount may have been a direct rollover, a Taxes on Qualified Plans (Including IRAs)shown, and you must enter zero (-0-) on thetransfer or conversion to a Roth IRA, a and Other Tax-Favored Accounts.“Taxable amount” line of your tax return.recharacterized IRA contribution; or you may If the IRA/SEP/SIMPLE box is marked, youhave received it as periodic payments, as If this is a total distribution from a qualified have received a Traditional IRA, SEP, ornonperiodic payments, or as a total plan and you were born before January 2, SIMPLE IRA distribution.distribution. Report the amount on Form 1040 1936 (or you are the beneficiary of someone

or 1040A on the line for “IRA distributions” born before January 2, 1936), you may be Box 10or “Pensions and annuities” (or the line for eligible for the 10-year tax option. See the If an amount is reported in this box, see the“Taxable amount”), and on Form 8606, Form 4972 instructions for more information. instructions for Form 5329 and .Pub. 575Nondeductible IRAs, as applicable. However,

If you are an eligible retired public safety Box 11if this is a lump-sum distribution, see Formofficer who elected to exclude from income The 1st year you made a contribution to the4972, Tax on Lump-Sum Distributions. If youdistributions from your eligible plan used to designated Roth account reported on thishave not reached minimum retirement age, pay certain insurance premiums, the amount form is shown in this box.report your disability payments on the line forshown in Box 2a has not been reduced by the“Wages, salaries, tips, etc.” on your tax Boxes 12 - 13exclusion amount. See the instructions forreturn. Also report on that line permissible If state income tax was withheld from theForm 1040 or Form 1040A for morewithdrawals from eligible automatic distribution, these boxes may be completed.information.contribution arrangements and corrective

distributions of excess deferrals, excess Future developmentsBox 2bFor the latest information aboutcontributions, or excess aggregate If the first box is marked, we were unable todevelopments related to Form 1099-R and itscontributions except if you are self-employed. determine the taxable amount, and Box 2ainstructions, go to .www.irs.gov/form1099rshould be blank, except for an IRA. It is yourIf a life insurance, annuity, qualified responsibility to determine the taxablelong-term care, or endowment contract was amount. If the second box is marked, thetransferred tax free to another trustee or distribution was a total distribution that

T. Rowe Price Trust Co.P.O. Box 17302Baltimore, MD [email protected]

Payer's ID: 52-1309931

Taxpayer ID: XXX-XX-XXXX

Form 1099-R reports the distributions you received from pensions, annuities, profit-sharing and other retirement plans(including section 457 state and local government plans), IRAs, insurance contracts, etc. To help you with your tax filing, we are providing the relevant IRS instructions for the enclosed Form 1099-R.Recipient's identification number For your protection, this form may show only the last four digits of your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN). However, we have reported your complete identification number to the IRS.Qualified plansIf your annuity starting date is after 1997, you must use the simplified method to figure your taxable amount if we did not show the taxable amount in Box 2a. See the instructions for Form 1040 or 1040A.IRAsFor distributions from a traditional individual retirement arrangement (IRA), simplified employee pension (SEP), or savings incentive match plan for employees (SIMPLE), generally we are not required to compute the taxable amount. See the Form 1040 or 1040A instructions to determine the taxable amount. If you are at least age 70½, you must take minimum distributions from your IRA (other than a Roth IRA). If contract issuer, an amount will be shown in closed out your account.this box and Code 6 will be shown in Box 7.