Pub. 575, Pension and Annuity Income |
2006 Tax Year |
This is archived information that pertains only to the 2006 Tax Year. If you are looking for information for the current tax year, go to the Tax Prep Help Area.
Form 1099-R Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, Individual Retirement Arrangements,
Insurance
Contracts, etcetera. 2006. Summary: This is an example of Form 1099-R (2006) with information completed per the text. The line items are completed as
follows:
“PAYER'S name, street address, city, state, and ZIP code” field contains:
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Brown's Real Estate
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Profit-Sharing Plan
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2101 Chelsea Court
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Anytown, Nevada 89300
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“PAYER'S federal identification number” field contains 10-0000000
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“RECIPIENT'S identification number” field contains 005-00-6789
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“RECIPIENT'S name” field contains Mary Brown
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“Street address (including apt. number)” field contains 12 Mill Avenue
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“City, state, and ZIP code” field contains Anytown, Nevada 89300
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“1. Gross distribution” field contains $160000.00
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“2a. Taxable amount” field contains $160000.00
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“2b. Total distribution” checkbox checked
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“4. Federal income tax withheld” field contains $32000.00
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“7. Distribution code” field contains 7A
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“8. Other” field contains $10000.00
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