Form 8606

Department of the Treasury 

Internal Revenue Service (99)

Nondeductible IRAs

© See separate instructions. 

© Attach to Form 1040, Form 1040A, or Form 1040NR.

OMB No. 1545-0074

2009

Attachment 

Sequence No. 48

Name. If married, file a separate form for each spouse required to file Form 8606. See page 5 of the instructions. Your social security number 

Fill in Your Address Only 

If You Are Filing This 

Form by Itself and Not 

With Your Tax Return © Home address (number and street, or P.O. box if mail is not delivered to your home) Apt. no.

City, town or post office, state, and ZIP code

Part I Nondeductible Contributions to Traditional IRAs and Distributions From Traditional, SEP, and SIMPLE IRAs

Complete this part only if one or more of the following apply. 

● You made nondeductible contributions to a traditional IRA for 2009. 

● You took distributions from a traditional, SEP, or SIMPLE IRA in 2009 and you made nondeductible contributions to a 

traditional IRA in 2009 or an earlier year. For this purpose, a distribution does not include a rollover (other than a 

repayment of a qualified disaster recovery assistance distribution), qualified charitable distribution, one-time distribution

to fund an HSA, conversion, recharacterization, or return of certain contributions. 

● You converted part, but not all, of your traditional, SEP, and SIMPLE IRAs to Roth IRAs in 2009 (excluding any portion

you recharacterized) and you made nondeductible contributions to a traditional IRA in 2009 or an earlier year.

1 Enter your nondeductible contributions to traditional IRAs for 2009, including those made for 2009 

from January 1, 2010, through April 15, 2010 (see page 5 of the instructions) . . . . . . . 1

2 Enter your total basis in traditional IRAs (see page 5 of the instructions) . . . . . . . . . 2

3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

In 2009, did you take a 

distribution from traditional, 

SEP, or SIMPLE IRAs, or 

make a Roth IRA conversion?

No © Enter the amount from line 3 on 

line 14. Do not complete the rest 

of Part I.

Yes © Go to line 4.

4 Enter those contributions included on line 1 that were made from January 1, 2010, through April 

15, 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Enter the value of all your traditional, SEP, and SIMPLE IRAs as of

December 31, 2009, plus any outstanding rollovers. Subtract any 

repayments of qualified disaster recovery assistance distributions. If

the result is zero or less, enter -0- (see page 6 of the instructions) . . 6

7 Enter your distributions from traditional, SEP, and SIMPLE IRAs in

2009. Do not include rollovers (other than repayments of qualified 

disaster recovery assistance distributions), qualified charitable 

distributions, a one-time distribution to fund an HSA, conversions to a 

Roth IRA, certain returned contributions, or recharacterizations of

traditional IRA contributions (see page 6 of the instructions) . . . . 7

8 Enter the net amount you converted from traditional, SEP, and SIMPLE 

IRAs to Roth IRAs in 2009. Do not include amounts converted that you

later recharacterized (see page 6 of the instructions). Also enter this

amount on line 16 . . . . . . . . . . . . . . . . . . 8

9 Add lines 6, 7, and 8 . . . . . . . . 9

10 Divide line 5 by line 9. Enter the result as a decimal rounded to at least 

3 places. If the result is 1.000 or more, enter “1.000” . . . . . . 10 3 .

11 Multiply line 8 by line 10. This is the nontaxable portion of the amount 

you converted to Roth IRAs. Also enter this amount on line 17 . . . 11

12 Multiply line 7 by line 10. This is the nontaxable portion of your 

distributions that you did not convert to a Roth IRA . . . . . . . 12

13 Add lines 11 and 12. This is the nontaxable portion of all your distributions . . . . . . . . 13

14 Subtract line 13 from line 3. This is your total basis in traditional IRAs for 2009 and earlier years 14

15a Subtract line 12 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . 15a

b Amount on line 15a attributable to qualified disaster recovery assistance distributions (see page 6

of the instructions). Also enter this amount on Form 8930, line 22 . . . . . . . . . . . 15b

c Taxable amount. Subtract line 15b from line 15a. If more than zero, also include this amount on

Form 1040, line 15b; Form 1040A, line 11b; or Form 1040NR, line 16b . . . . . . . . . . 15c

Note: You may be subject to an additional 10% tax on the amount on line 15c if you were under 

age 591

/2 at the time of the distribution (see page 7 of the instructions).

For Privacy Act and Paperwork Reduction Act Notice, see page 8 of the instructions. Cat. No. 63966F Form 8606 (2009) 
Form 8606 (2009) Page 2 

Part II 2009 Conversions From Traditional, SEP, or SIMPLE IRAs to Roth IRAs

Complete this part if you converted part or all of your traditional, SEP, and SIMPLE IRAs to a Roth IRA in 2009 (excluding 

any portion you recharacterized).

Caution: If your modified adjusted gross income is over $100,000 or you are married filing separately and you lived with 

your spouse at any time in 2009, you cannot convert any amount from traditional, SEP, or SIMPLE IRAs to Roth IRAs 

for 2009. If you erroneously made a conversion, you must recharacterize (correct) it (see page 7 of the instructions).

16 If you completed Part I, enter the amount from line 8. Otherwise, enter the net amount you

converted from traditional, SEP, and SIMPLE IRAs to Roth IRAs in 2009. Do not include amounts 

you later recharacterized back to traditional, SEP, or SIMPLE IRAs in 2009 or 2010 (see page 7 of

the instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

17 If you completed Part I, enter the amount from line 11. Otherwise, enter your basis in the amount 

on line 16 (see page 7 of the instructions) . . . . . . . . . . . . . . . . . . . 17

18 Taxable amount. Subtract line 17 from line 16. Also include this amount on Form 1040, line 15b; 

Form 1040A, line 11b; or Form 1040NR, line 16b . . . . . . . . . . . . . . . . . 18

Part III Distributions From Roth IRAs

Complete this part only if you took a distribution from a Roth IRA in 2009. For this purpose, a distribution does not 

include a rollover (other than a repayment of a qualified disaster recovery assistance distribution), qualified charitable

distribution, one-time distribution to fund an HSA, recharacterization, or return of certain contributions (see page 7 of the

instructions).

19 Enter your total nonqualified distributions from Roth IRAs in 2009 including any qualified first-time

homebuyer distributions (see page 7 of the instructions) . . . . . . . . . . . . . . 19

20 Qualified first-time homebuyer expenses (see page 7 of the instructions). Do not enter more than 

$10,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

21 Subtract line 20 from line 19. If zero or less, enter -0- and skip lines 22 through 25 . . . . . . 21

22 Enter your basis in Roth IRA contributions (see page 7 of the instructions) . . . . . . . . 22

23 Subtract line 22 from line 21. If zero or less, enter -0- and skip lines 24 and 25. If more than zero, 

you may be subject to an additional tax (see page 7 of the instructions) . . . . . . . . . 23

24 Enter your basis in conversions from traditional, SEP, and SIMPLE IRAs and rollovers from

qualified retirement plans to a Roth IRA (see page 7 of the instructions) . . . . . . . . . 24

25a Subtract line 24 from line 23. If zero or less, enter -0- and skip lines 25b and 25c . . . . . . 25a

b Amount on line 25a attributable to qualified disaster recovery assistance distributions (see page 7

of the instructions). Also enter this amount on Form 8930, line 23 . . . . . . . . . . . 25b

c Taxable amount. Subtract line 25b from line 25a. If more than zero, also include this amount on 

Form 1040, line 15b; Form 1040A, line 11b; or Form 1040NR, line 16b . . . . . . . . . . 25c

Sign Here Only If You 

Are Filing This Form 

by Itself and Not With 

Your Tax Return

Under penalties of perjury, I declare that I have examined this form, including accompanying attachments, and to the best of my 

knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which 

preparer has any knowledge.

© Your signature © Date

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Preparer’s 

signature © Date Check if selfemployed

Preparer’s SSN or PTIN

Firm’s name (or yours 

if self-employed), 

address, and ZIP code © EIN

Phone no.

Form 8606 (2009)