Form 8606 Nondeductible IRAs

Form

8606

Nondeductible IRAs
▶

OMB No. 1545-0074

▶ Attach

▲

Part I

Attachment
Sequence No. 48

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

Your social security number

Name. If married, file a separate form for each spouse required to file Form 8606. See instructions.

Fill in Your Address Only
If You Are Filing This
Form by Itself and Not
With Your Tax Return

2012

Information about Form 8606 and its separate instructions is at www.irs.gov/form8606.

Department of the Treasury
Internal Revenue Service (99)

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. If you have a foreign address, also complete the spaces below (see instructions).

Foreign country name

Foreign province/state/county

Foreign postal code

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 2012.
• You took distributions from a traditional, SEP, or SIMPLE IRA in 2012 and you made nondeductible contributions to a
traditional IRA in 2012 or an earlier year. For this purpose, a distribution does not include a rollover, 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 2012 (excluding any portion
you recharacterized) and you made nondeductible contributions to a traditional IRA in 2012 or an earlier year.

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2
3

4
5
6

Enter your nondeductible contributions to traditional IRAs for 2012, including those made for 2012
from January 1, 2013, through April 15, 2013 (see instructions) . . . . . . . . . . . .
Enter your total basis in traditional IRAs (see instructions) . . . . . . . . . . . . . .
Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . .
No
▶ Enter the amount from line 3 on line 14.
In 2012, did you take a distribution
Do not complete the rest of Part I.
from traditional, SEP, or SIMPLE IRAs,
or make a Roth IRA conversion?
Yes
▶ Go to line 4.
Enter those contributions included on line 1 that were made from January 1, 2013, through April 15, 2013
Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . .
Enter the value of all your traditional, SEP, and SIMPLE IRAs as of
December 31, 2012, plus any outstanding rollovers (see instructions) . .
6

7

Enter your distributions from traditional, SEP, and SIMPLE IRAs in
2012. Do not include rollovers, a one-time distribution to fund an HSA,
conversions to a Roth IRA, certain returned contributions, or
recharacterizations of traditional IRA contributions (see instructions) .

8

Enter the net amount you converted from traditional, SEP, and SIMPLE
IRAs to Roth IRAs in 2012. Do not include amounts converted that you
later recharacterized (see instructions). Also enter this amount on line 16 .
8
Add lines 6, 7, and 8 . . . . . . . .
9
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
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
Multiply line 7 by line 10. This is the nontaxable portion of your
distributions that you did not convert to a Roth IRA . . . . . . .
12
Add lines 11 and 12. This is the nontaxable portion of all your distributions . . . . . . . .
Subtract line 13 from line 3. This is your total basis in traditional IRAs for 2012 and earlier years
Taxable amount. Subtract line 12 from line 7. If more than zero, also include this amount on Form
1040, line 15b; Form 1040A, line 11b; or Form 1040NR, line 16b . . . . . . . . . . . .
Note. You may be subject to an additional 10% tax on the amount on line 15 if you were under
age 59½ at the time of the distribution (see instructions).

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15

For Privacy Act and Paperwork Reduction Act Notice, see separate instructions.

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Cat. No. 63966F

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Form 8606 (2012)

Page 2

Form 8606 (2012)

Part II

2012 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 2012 (excluding
any portion you recharacterized).

16

17
18

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 2012. Do not include amounts
you later recharacterized back to traditional, SEP, or SIMPLE IRAs in 2012 or 2013 (see instructions)
If you completed Part I, enter the amount from line 11. Otherwise, enter your basis in the amount
on line 16 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . .
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 . . . . . . . . . . . . . . . . .

Part III

Distributions From Roth IRAs

16
17
18

Complete this part only if you took a distribution from a Roth IRA in 2012. For this purpose, a distribution does not
include a rollover, a one-time distribution to fund an HSA, recharacterization, or return of certain contributions (see
instructions).
19

Paid
Preparer
Use Only

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Enter your total nonqualified distributions from Roth IRAs in 2012, including any qualified first-time
homebuyer distributions (see instructions) . . . . . . . . . . . . . . . . . . .
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20
Qualified first-time homebuyer expenses (see 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 . . . . . . .
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22
Enter your basis in Roth IRA contributions (see 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 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 instructions) . . . . . . . . . . . . . .
24
25
Taxable amount. Subtract line 24 from line 23. If more than zero, also include this amount on
Form 1040, line 15b; Form 1040A, line 11b; or Form 1040NR, line 16b . . . . . . . . . .
25
Sign Here Only If You 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.
Are Filing This Form
by Itself and Not With
Your Tax Return
Date
Your signature
Print/Type preparer’s name

Preparer’s signature

Date

Check
if PTIN
self-employed

Firm's name

▶

Firm's EIN

Firm's address

▶

Phone no.

▶

Form 8606 (2012)