Return for Individual
Fon 3 3 2 9 Retirement Arrangement Taxes

Department of the Treasury (Under Sections 408(f), 4973 and 4974 of the Internal Revenue Code)
Internal Revenue Service P Attach to Form 1040.

OMB No. 1545-0203

1985

Name Your social security number

‘Address (Number and street)

City or town, state and ZIP code

Excess Contributions Tax for Individual Retirement Arrangements
if you have contributed either this year or in earlier years more to your IRA than is or was allowable
as a deduction, and you have an excess contribution subject to tax, complete the following.

ary

Excess contributions for 1985 (see instructions for line 1). Do not include this amount on Form 1040, line 26
Earlier year excess contributions not previously eliminated (see instructions for line 2) .

Nn

3 Contribution credit. (If your maximum allowable deduction for 1985 is more than your actual
contribution, see instructions for line 3, otherwise enter zero.)

4 a 1985 distributions out of your account that are taxable income .

b 1984 tax year excess contributions (if any) withdrawn after the due date (including extensions)
of your 1984 income tax return, and 1983 and earlier tax year excess contributions withdrawn in
1985

Do not enter any withdrawn excess contributions | on line 4b if, in the tax year that the ¢ excess

contributions were made:

@ your total IRA contributions (other than rollover contributions) were more than $2,250 (or if
the total contributions for the year include employer contributions to a SEP, $2,250
increased by the lesser of the amount of the employer contributions to the SEP or
$15,000); or

® you took a deduction for the excess contributions on your Form 1040.

Instead, enter these withdrawn excess contributions on line 4a of Form 5329 and also on line

16 of Form 1040.

c¢ Addlines 3 through 4b

5 Adjusted earlier year excess contributions (line 2 minus line 4c but not less ‘than zero) .

6 Total excess contributions (addlinesland5) . .
7 Tax (6% of line 6 or 6% of the value of your IRA on the last day of 1985, ‘whichever i is smaller. ) Enter tax on Form 1040, line 55

Tax on Premature Distributions

If you received a distribution from your arrangement before you reached age 591, complete lines 8,

11. Also, enter the amount of the distribution on Form 1040, line 16.

9, 10, and

8 a If you entered into a prohibited transaction as described in the instructions, borrowed any amount from one of
your individual retirement annuities, or pledged any part of your individual retirement annuity contracts, enter
10% of the value of the account or annuity at the beginning of the year
b {fin 1985 any part of your arrangement was invested in collectibles (see instructions for line 8b) include 10%
of the cost of the collectibles here
9 Enter 10% of the amount of the distributions from y your arrangement during the year ‘(see instructions for line 9
for items that are not considered taxable distributions)

10 Enter 10% cf the amount from your individual retirement savings accounts that you pledged as security fora loan .

11 Total tax (add lines 8a through 10). Enter here and on Form 1040, line 55.

Tax on Excess Accumulation in Individual Retirement Accounts and Annuities

12 Tax based on current year distribution method (see worksheet in instructions)

13 Tax based on aggregate distribution method (see worksheet in instructions). .

14 Tax due. Enter amount from line 12 or, if aggregate distribution method is applicable, enter the smaller of line 12
or line 13. Also include this amount on Form 1040, line 55 . toe soe

Under penalties of perjury, | declare that | have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
Please belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) 1s based on all information of which preparer has any knowledge.
Sign
Here » Your signature » Date

; Preparer's Date Check if self- Preparer’s social security no.

Paid signature employed P [] : :
Preparer's —

Firm's name (or ELNo. >
Use Only | yours, if self-employed) No

and address ZIP code

For Paperwork Reduction Act Notice, see page 1 of instructions. 4#U.S.GPO:1985-0-469-259 #E..#490814328

Form 5329 (1985)