3131 VOID CORRECTED

PAYER’S/TRUSTEE’S name, street address, city, state, ZIP code, and telephone number Payments From

Qualified

Education

Programs

(Under Sections

529 and 530)

PAYER’S/TRUSTEE’S federal identification no. RECIPIENT’S social security number 3

RECIPIENT’S name

2

Street address (including apt. no.)

City, state, and ZIP code

Account number (see instructions)

Form 1099-Q Cat. No. 32223J Department of the Treasury - Internal Revenue Service

Form 1099-Q

OMB No. 1545-1760

Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page

Basis

Earnings

1 Gross distribution

$

$

$

Copy A

For

Internal Revenue

Service Center

File with Form 1096.

For Privacy Act

and Paperwork

Reduction Act

Notice, see the

2008 General

Instructions for

Forms 1099, 1098,

5498, and W-2G.

Check if the recipient is

not the designated

beneficiary

6

4 Trustee-to-trustee

transfer

5

Private State

● Coverdell ESA

Check one:

● Qualified tuition program—

or

2008
CORRECTED (if checked)

RECIPIENT’S social security number 3

RECIPIENT’S name

2

Street address (including apt. no.)

City, state, and ZIP code

Account number (see instructions)

Form 1099-Q Department of the Treasury - Internal Revenue Service

Form 1099-Q

OMB No. 1545-1760

Basis

Earnings

1 Gross distribution

$

$

$

5

Copy B

(keep for your records)

This is important tax

information and is

being furnished to the

Internal Revenue

Service. If you are

required to file a

return, a negligence

penalty or other

sanction may be

imposed on you if this

income is taxable and

the IRS determines

that it has not been

reported.

For Recipient 6 If this box is checked,

the recipient is not

the designated

beneficiary

4 Trustee-to-trustee

transfer

PAYER’S/TRUSTEE’S name, street address, city, state, ZIP code, and telephone number Payments From

Qualified

Education

Programs

(Under Sections

529 and 530)

PAYER’S/TRUSTEE’S federal identification no.

Private State

● Coverdell ESA

Check one:

● Qualified tuition program—

or

If an FMV amount is shown below, see Pub. 970, Tax

Benefits for Education, for how to figure earnings.

2008
Instructions for Recipient

Box 1. Shows the gross distribution (including in-kind distributions) paid

to you this year from a qualified tuition program (QTP), under section 529,

or a Coverdell ESA (CESA), under section 530. This amount is the total

of the amounts shown in box 2 and box 3. See Pub. 970 for more

information.

Box 2. Shows the earnings part of the gross distribution shown in box 1.

Generally, amounts distributed are included in income unless they are

used to pay for qualified education expenses, transferred between

trustees, or rolled over to another qualified education program within 60

days. Report taxable amounts as “Other Income” on Form 1040.

Box 4. This box is checked if you transferred the amount in box 1 from

one education program to another education program in a

trustee-to-trustee transfer. However, this box may not be checked if the

transfer was made from a CESA.

Box 5. Shows whether the gross distribution was from a QTP (private or

state) or from a CESA.

Box 3. Shows your basis in the gross distribution reported in box 1.

designated beneficiary is not a family member or is over age 30 (except

for beneficiaries with special needs).

Also, an additional 10% tax may apply to part or all of any amount

included in income from the CESA or QTP. See Form 5329 and your tax

return instructions for more information.

If a final (total) distribution is made from your account and you have

not recovered your contributions, you may have a deductible loss. If you

itemize, claim any loss on the “Other expenses” line of Schedule A (Form

1040), Itemized Deductions.

Under a QTP, the amount in box 2 is included in income if there has

been (a) more than one transfer or rollover within any 12-month period

with respect to the same beneficiary, or (b) a change in the designated

beneficiary and the new designated beneficiary is not a family member.

Caution: For CESA distributions (other than earnings on excess

contributions) made during 2008, the payer/trustee is not required to report

amounts in boxes 2 and 3. Instead, the payer/trustee may report the fair

market value of the CESA as of December 31, 2008, in the blank box below

boxes 5 and 6. To figure your earnings and basis, use the Coverdell

ESA—Taxable Distributions and Basis worksheet in Pub. 970.

Distribution codes. For 2008, the payer/trustee may, but is not required

to, report (in the box below boxes 5 and 6) one of the following codes to

identify the distribution you received: 1—Distributions (including transfers);

2—Excess contributions plus earnings taxable in 2008; 3—Excess

contributions plus earnings taxable in 2007; 4—Disability; 5—Death; 

6—Prohibited transaction. Note: Nontaxable distributions from CESAs

and QTPs, including rollovers, are not required to be reported on your

income tax return. See Pub. 970 for more information.

Account number. May show an account or other unique number the

payer has assigned to distinguish your account.

Under a CESA, the amount in box 2 is included in income if there has

been a change in the designated beneficiary and the new
For Payer

For Privacy Act

and Paperwork

Reduction Act

Notice, see the

2008 General

Instructions for

Forms 1099,

1098, 5498, and

W-2G.

Copy C

VOID CORRECTED

RECIPIENT’S social security number 3

RECIPIENT’S name

2

Street address (including apt. no.)

City, state, and ZIP code

Account number (see instructions)

Form 1099-Q Department of the Treasury - Internal Revenue Service

Form 1099-Q

OMB No. 1545-1760

Basis

Earnings

1 Gross distribution

$

$

$

6 Check if the recipient is

not the designated

beneficiary

4 Trustee-to-trustee

transfer

PAYER’S/TRUSTEE’S name, street address, city, state, ZIP code, and telephone number Payments From

Qualified

Education

Programs

(Under Sections

529 and 530)

PAYER’S/TRUSTEE’S federal identification no.

5

Private State

● Coverdell ESA

Check one:

● Qualified tuition program—

or

2008
Instructions for Payers/Trustees

General and specific form instructions are provided

as separate products. The products you should use

to complete Form 1099-Q are the 2008 General

Instructions for Forms 1099, 1098, 5498, and W-2G

and the 2008 Instructions for Form 1099-Q. A chart in

the general instructions gives a quick guide to which

form must be filed to report a particular payment. To

order these instructions and additional forms, visit the

IRS website at www.irs.gov or call 1-800-TAX-FORM

(1-800-829-3676).

Due dates. Furnish Copy B of this form to the

recipient by February 2, 2009.

File Copy A of this form with the IRS by

March 2, 2009. If you file electronically, the due date is

March 31, 2009. To file electronically, you must have

software that generates a file according to the

specifications in Pub. 1220, Specifications for Filing

Forms 1098, 1099, 5498, and W-2G Electronically. IRS

does not provide a fill-in form option.

Caution: Because paper forms are scanned during

processing, you cannot file with the IRS Forms 1096,

1098, 1099, or 5498 that you download from the IRS

website.

Need help? If you have questions about reporting on

Form 1099-Q, call the information reporting customer

service site toll free at 1-866-455-7438 or

304-263-8700 (not toll free). For TTY/TDD equipment,

call 304-267-3367 (not toll free). The hours of

operation are Monday through Friday from 8:30 a.m.

to 4:30 p.m. Eastern time.