Form 5498 IRA Contribution Information

Attention:
This form is provided for informational purposes only. Copy A appears in red,
similar to the official IRS form. Do not file copy A with the IRS. The official printed
version of this IRS form is scannable, but the online version of it, printed from this
website, is not. A penalty of $50 per information return may be imposed for filing
forms that cannot be scanned.
To order official IRS forms, call 1-800-TAX-FORM (1-800-829-3676) or
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See IRS Publications 1141, 1167, 1179 and other IRS resources for information
about printing these tax forms.

2828

VOID

CORRECTED

TRUSTEE’S or ISSUER’S name, street address, city, state, and ZIP code

1 IRA contributions (other
than amounts in boxes
2–4 and 8–10)

OMB No. 1545-0747

$

2007

2 Rollover contributions

$
TRUSTEE’S or ISSUER’S federal identification no.

PARTICIPANT’S social security number

PARTICIPANT’S name

Form

5498

3 Roth IRA conversion amount

4 Recharacterized contributions

$

$

5 Fair market value of account

6 Life insurance cost
included in box 1

$

$

Street address (including apt. no.)

7

City, state, and ZIP code

8 SEP contributions

9 SIMPLE contributions

$

$

Account number (see instructions)

IRA

10 Roth IRA contributions

$
Form

5498

SEP

Cat. No. 50010C

Do Not Cut or Separate Forms on This Page

—

SIMPLE

IRA
Contribution
Information

Roth IRA

11 Check if RMD
for 2008

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2007 General
Instructions for
Forms 1099, 1098,
5498, and W-2G.

Department of the Treasury - Internal Revenue Service

Do Not Cut or Separate Forms on This Page

CORRECTED (if checked)
TRUSTEE’S or ISSUER’S name, street address, city, state, and ZIP code

1 IRA contributions (other
than amounts in boxes
2–4 and 8–10)

OMB No. 1545-0747

2007

$
2 Rollover contributions

$
TRUSTEE’S or ISSUER’S federal identification no.

PARTICIPANT’S social security number

Form

5498

3 Roth IRA conversion amount

4 Recharacterized contributions

$

$

PARTICIPANT’S name

5 Fair market value of account

6 Life insurance cost
included in box 1

Street address (including apt. no.)

7

City, state, and ZIP code

8 SEP contributions

9 SIMPLE contributions

$

$

$

Account number (see instructions)

Form

5498

$
IRA

SEP

10 Roth IRA contributions

$
(keep for your records)

SIMPLE

IRA
Contribution
Information

Roth IRA

11 If checked, required
minimum distribution
for 2008

Copy B
For
Participant

This information
is being
furnished to
the Internal
Revenue
Service.

Department of the Treasury - Internal Revenue Service

Instructions for Participant
Note. If you postponed making a contribution to your IRA or certain retirement
plans or repaid a qualified reservist distribution, the box to the left of box 10
should show a reason code, the amount of the contribution or repayment, and
the year to which the payment was credited, if applicable. Also, certain
catch-up contributions under a section 401(k) plan will be shown in the blank
box. See Form 8606 and its instructions for more information.
The information on Form 5498 is submitted to the Internal Revenue Service
by the trustee or issuer of your individual retirement arrangement (IRA) to
report contributions, including any catch-up contributions, and the fair market
value of the account. For information about IRAs, see Pub. 590, Individual
Retirement Arrangements (IRAs), and Pub. 560, Retirement Plans for Small
Business (SEP, SIMPLE, and Qualified Plans).
Account number. May show an account or other unique number the trustee
assigned to distinguish your account.
Box 1. Shows traditional IRA contributions for 2007 you made in 2007 and
through April 15, 2008. These contributions may be deductible on your Form
1040 or 1040A. However, if you or your spouse was an active participant in an
employer’s pension plan, these contributions may not be deductible. This box
does not include amounts in boxes 2–4 and 8–10.
Box 2. Shows any rollover, including a direct rollover to a traditional IRA or
Roth IRA, you made in 2007. It does not show any amounts you converted
from your traditional IRA, SEP IRA, or SIMPLE IRA to a Roth IRA. They are
shown in box 3. See the Form 1040 or 1040A instructions for information on
how to report rollovers. If you have ever made any nondeductible contributions
to your traditional IRA or SEP IRA and you did not roll over the total
distribution, use Form 8606, Nondeductible IRAs, to figure the taxable amount.
If property was rolled over, see Pub. 590.
Box 3. Shows the amount converted from a traditional IRA, SEP IRA, or SIMPLE
IRA to a Roth IRA in 2007. Use Form 8606 to figure the taxable amount.

Box 4. Shows amounts recharacterized from transferring any part of the
contribution (plus earnings) from one type of IRA to another. See Pub. 590.
Box 5. Shows the fair market value of all investments in your account at year
end. However, if a decedent’s name is shown, the amount reported may be
the FMV on the date of death. If the FMV shown is zero for a decedent, the
executor or administrator of the estate may request a date-of-death value from
the financial institution.
Box 6. For endowment contracts only, shows the amount allocable to the cost
of life insurance. Subtract this amount from your allowable IRA contribution
included in box 1 to compute your IRA deduction.
Box 7. May show the kind of IRA reported on this Form 5498.
Box 8. Shows SEP contributions made in 2007, including contributions made
in 2007 for 2006, but not including contributions made in 2008 for 2007. If
made by your employer, do not deduct on your income tax return. If you made
the contributions as a self-employed person (or partner), they may be
deductible. See Pub. 560.
Box 9. Shows SIMPLE contributions made in 2007. If made by your employer,
do not deduct on your income tax return. If you made the contributions as a
self-employed person (or partner), they may be deductible. See Pub. 560.
Box 10. Shows Roth IRA contributions you made in 2007 and through April 15,
2008. Do not deduct on your income tax return.
Box 11. If the box is checked, you must take a required minimum distribution
(RMD) for 2008. An RMD may be required even if the box is not checked. The
amount, or offer to compute the amount, and date of the RMD will be
furnished to you by January 31 either on Form 5498 (in the blank box to the
left of box 10) or in a separate statement. If you do not take the RMD for
2008, you are subject to a 50% excise tax on the amount not distributed. See
Pub. 590 for details.

VOID

CORRECTED

TRUSTEE’S or ISSUER’S name, street address, city, state, and ZIP code

1 IRA contributions (other
than amounts in boxes
2–4 and 8–10)

OMB No. 1545-0747

$

2007

2 Rollover contributions

$
TRUSTEE’S or ISSUER’S federal identification no.

PARTICIPANT’S name

PARTICIPANT’S social security number

Form

5498

3 Roth IRA conversion amount

4 Recharacterized contributions

$

$

5 Fair market value of account

6 Life insurance cost
included in box 1

$

$

Street address (including apt. no.)

7

City, state, and ZIP code

8 SEP contributions

9 SIMPLE contributions

$

$

Account number (see instructions)

5498

SEP

10 Roth IRA contributions

$
Form

IRA

SIMPLE

IRA
Contribution
Information

Roth IRA

11 Check if RMD
for 2008

Copy C
For
Trustee or Issuer
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2007 General
Instructions for
Forms 1099,
1098, 5498,
and W-2G.

Department of the Treasury - Internal Revenue Service

Instructions for Trustees and Issuers
We provide general and specific form instructions
as separate products. The products you should
use for 2007 are the General Instructions for
Forms 1099, 1098, 5498, and W-2G and the 2007
Instructions for Forms 1099-R and 5498. 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).
Caution: Because paper forms are scanned
during processing, you cannot file with the IRS
Forms 1096, 1098, 1099, or 5498 that you print
from the IRS website.
Due dates. Furnish Copy B of this form to the
participant by June 2, 2008, but furnish fair
market value information and RMD if applicable
by January 31, 2008.

File Copy A of this form with the IRS by
June 2, 2008. If you 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 or Magnetically. IRS does not offer
a fill-in form option.
Need help? If you have questions about reporting
on Form 5498, 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. The
service site can also be reached by email at
[email protected].