Form 1099-Q

2012

Cat. No. 32223J

Payments From 

Qualified 

Education 

Programs 

(Under Sections 

529 and 530)

Copy A

For 

Internal Revenue 

Service Center

Department of the Treasury - Internal Revenue Service

File with Form 1096.

OMB No. 1545-1760

For Privacy Act 

and Paperwork 

Reduction Act 

Notice, see the 

2012 General

Instructions for

Certain Information

Returns.

3131 VOID CORRECTED

PAYER’S/TRUSTEE'S name, street address, city, state, ZIP code, and telephone no.

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

RECIPIENT’S name

Street address (including apt. no.)

City, state, and ZIP code

Account number (see instructions)

1 Gross distribution

$

2 Earnings

$

3 Basis

$

4 Trustee-to-trustee 

transfer

5 Check one:

• Qualified tuition program—

Private or State

• Coverdell ESA

6 Check if the recipient is 

not the designated 

beneficiary

Form 1099-Q

Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page
Form 1099-Q

2012

Payments From 

Qualified 

Education 

Programs 

(Under Sections 

529 and 530)

Copy B

For Recipient

Department of the Treasury - Internal Revenue Service

OMB No. 1545-1760

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.

CORRECTED (if checked)

PAYER’S/TRUSTEE'S name, street address, city, state, ZIP code, and telephone no.

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

RECIPIENT’S name

Street address (including apt. no.)

City, state, and ZIP code

Account number (see instructions)

1 Gross distribution

$

2 Earnings

$

3 Basis

$

4 Trustee-to-trustee 

transfer

5 Check one:

• Qualified tuition program—

Private or State

• Coverdell ESA

6 If this box is checked, the 

recipient is not the 

designated beneficiary

If the fair market value (FMV) is shown below, see Pub. 970, 

Tax Benefits for Education, for how to figure earnings.

Form 1099-Q (keep for your records)
Instructions for Recipient

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), or adoption taxpayer identification number (ATIN). 

However, the issuer has reported your complete identification number to the IRS 

and, where applicable, to state and/or local governments.

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

assigned to distinguish your account.

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.

Caution: For CESA distributions (other than earnings on excess contributions)

made during 2012, 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, 2012, 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.

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.

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. 

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 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, see Pub. 970 to determine if you have a 

deductible loss and how to claim it.

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

Box 4. This box is checked if a trustee-to-trustee transfer was made from one

QTP to another QTP, from one CESA to another CESA, or from a CESA to a

QTP. However, in certain transfers from a CESA, the box will be blank.

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

or from a CESA.

Box 6. The designated beneficiary is the individual named in the document 

creating the trust or custodial account to receive the benefit of the funds in the 

account.

Distribution codes. For 2012, 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 2012; 3—Excess contributions plus

earnings taxable in 2011; 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.
Form 1099-Q

2012

Payments From 

Qualified 

Education 

Programs 

(Under Sections 

529 and 530)

Copy C

For Payer

Department of the Treasury - Internal Revenue Service

OMB No. 1545-1760

For Privacy Act 

and Paperwork 

Reduction Act 

Notice, see the 

2012 General

Instructions for

Certain 

Information

Returns.

VOID CORRECTED

PAYER’S/TRUSTEE'S name, street address, city, state, ZIP code, and telephone no.

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

RECIPIENT’S name

Street address (including apt. no.)

City, state, and ZIP code

Account number (see instructions)

1 Gross distribution

$

2 Earnings

$

3 Basis

$

4 Trustee-to-trustee 

transfer

5 Check one:

• Qualified tuition program—

Private or State

• Coverdell ESA

6 Check if the recipient is 

not the designated 

beneficiary

Form 1099-Q
Instructions for Payer/Trustee

General and specific form instructions are provided as 

separate products. The products you should use to 

complete Form 1099-Q are the 2012 General 

Instructions for Certain Information Returns and the 

2012 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 IRS.gov or 

call 1-800-TAX-FORM (1-800-829-3676).

Caution: Because paper forms are scanned during

processing, you cannot file with the IRS Forms 1096,

1097, 1098, 1099, 3921, 3922, or 5498 that you

download from the IRS website.

Due dates. Furnish Copy B of this form to the recipient 

by January 31, 2013.

File Copy A of this form with the IRS by February 28, 

2013. If you file electronically, the due date is 

April 1, 2013. To file electronically, you must have 

software that generates a file according to the 

specifications in Pub. 1220, Specifications for Filing 

Forms 1097, 1098, 1099, 3921, 3922, 5498, 8935, and 

W-2G Electronically. IRS does not provide a fill-in form 

option.

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 

304-579-4827 (not toll free). The hours of operation are 

Monday through Friday from 8:30 a.m. to 4:30 p.m., 

Eastern time.