401kfedforms
Form 1099-R Samples and Instructions
- On-line "Point-and-Click" Fedform Instructions - Form 1099-R (for finding information within your 401(k) software)
- Printable Fedform Instructions - Form 1099-R
- Printable IRS Instructions - Form 1099-R (PDF for download from the IRS website)
On-line "Point-and-Click" Fedform Instructions
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Form 1099-R: Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.
Click on the highlighted section of the below IRS Form or Schedule to access instructions on where to find the information within your 401k software and companion materials -- or click on the II. Details, above, to view (or print) a text only page of 401k FedForms instructions for the IRS Form or Schedule.
Form 1099-R is a one-page form consisting of six carbonless copies, as explained on the preceding 1099-R.
Payer's name:
Print or type your company name and street address exactly as on the Form 1096.
Print or type your company name and street address exactly as on the Form 1096.
Box 1:
The amount listed for the employee on the Year-to-Date Activity Summary by Employee report you printed from your 401k plan administration software.
The amount listed for the employee on the Year-to-Date Activity Summary by Employee report you printed from your 401k plan administration software.
Box 2a:
If the amount in Box 1 was a lump-sum distribution, enter the same amount in Box 2a. If the amount in Box 1 was a rollover to a qualified plan or IRA, enter 0.
If the amount in Box 1 was a lump-sum distribution, enter the same amount in Box 2a. If the amount in Box 1 was a rollover to a qualified plan or IRA, enter 0.
Boxe 2b:
Leave "Taxable amount not determined" unchecked. Check "Total distribution" if all funds were distributed from the account as of year's end (i.e., no balance remains in the account).
Leave "Taxable amount not determined" unchecked. Check "Total distribution" if all funds were distributed from the account as of year's end (i.e., no balance remains in the account).
Boxe 2b:
Leave "Taxable amount not determined" unchecked. Check "Total distribution" if all funds were distributed from the account as of year's end (i.e., no balance remains in the account).
Leave "Taxable amount not determined" unchecked. Check "Total distribution" if all funds were distributed from the account as of year's end (i.e., no balance remains in the account).
Payer's Federal Identification Number:
Type in your employer ID number (see your plan's Adoption Agreement, page 1, item A4).
Type in your employer ID number (see your plan's Adoption Agreement, page 1, item A4).
Recipient's identification number:
The employee's social security number.
The employee's social security number.
Box 3:
Leave blank.
Leave blank.
Box 4:
Type in the tax withheld, if any; 20 percent of the distribution for lump-sum distributions.
Type in the tax withheld, if any; 20 percent of the distribution for lump-sum distributions.
Recipient's name:
Print or type the name and address of the employee who received the distribution (address information is recorded in your software's Employee Information).
Print or type the name and address of the employee who received the distribution (address information is recorded in your software's Employee Information).
Box 5:
Leave blank.
Leave blank.
Box 6:
Leave blank.
Leave blank.
Print or type the name and address of the employee who received the distribution (address information is recorded in your 401k software's Employee Information).
Box 7:
See IRS instructions pages R9-10 for a list of codes. Your distributions will most likely be one of the following, as defined in the aforementioned list of codes: 1, G, H, 7, 8 or L.
See IRS instructions pages R9-10 for a list of codes. Your distributions will most likely be one of the following, as defined in the aforementioned list of codes: 1, G, H, 7, 8 or L.
Box 8:
Leave blank.
Leave blank.
City, state, and ZIP code:
Print or type the city, state and zip of the employee who received the distribution (address information is recorded in your software's Employee Information).
Print or type the city, state and zip of the employee who received the distribution (address information is recorded in your software's Employee Information).
Box 9a:
Leave blank.
Leave blank.
Box 9b:
Leave blank.
Leave blank.
Printable Fedform Instructions
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Form 1099-R: Distributions From Pension, Annuities, Retirement or Profit-Sharing Plans
- Payer's name: Print or type your company name and street address exactly as on the Form 1096.
- Recipient's name: Print or type the name and address of the employee who received the distribution (address information is recorded in your 401k software's Employee Information).
- Box 1: The amount listed for the employee on the Year-to-Date Activity Summary by Employee report you printed from your 401k plan administration software.
- Box 2a: If the amount in Box 1 was a lump-sum distribution, enter the same amount in Box 2a. If the amount in Box 1 was a rollover to a qualified plan or IRA, enter 0.
- Boxes 2b: Leave "Taxable amount not determined" unchecked. Check "Total distribution" if all funds were distributed from the account as of year's end (i.e., no balance remains in the account).
- Payer's Federal identification number: Type in your employer ID number (see your plan's Adoption Agreement, page 1, item A4).
- Recipient's identification number: The employee's social security number.
- Box 3: Leave blank.
- Box 4: Type in the tax withheld, if any; 20 percent of the distribution for lump-sum distributions.
- Boxes 5 and 6: Leave blank.
- Box 7: See IRS instructions pages R9-10 for a list of codes. Your distributions will most likely be one of the following, as defined in the aforementioned list of codes: 1, G, H, 7, 8 or L.
- Boxes 8, 9a and 9b: Leave blank.
- Boxes 10-15: Complete as needed. Not applicable in most states.
