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                                                                                                                 Department of the Treasury
                                                                                                                 Internal Revenue Service
2020

Instructions for Form 8915-B

Qualified 2017 Disaster Retirement Plan Distributions and Repayments

Section references are to the Internal Revenue Code reported in Part I, and repayments of            Repayment of a Qualified 2017 
unless otherwise noted.                             distributions from IRAs are reported in Part II.
                                                                                                     Disaster Distribution
                                                        For details on qualified 2017 disaster 
General Instructions                                TIP distributions, see the 2018                          An amount paid more than 3 years 
                                                        Instructions for Form 8915B.                 !       and 1 day after the distribution was 
                                                                                                     CAUTION received cannot be treated as a 
Future Developments                                                                                  repayment. For example, if your qualified 
For the latest information about                    Who Must File                                    2017 disaster distribution was received on 
developments related to Form 8915-B and             File 2020 Form 8915-B if either of the           October 4, 2017, and you chose to repay the 
its instructions, such as legislation enacted       following applies.                               distribution, the repayment must be made 
after they were published, go to IRS.gov/             You received a qualified 2017 disaster         before October 5, 2020. Also, if your 
Form8915B.                                          
                                                    distribution in 2018 that you are including in   qualified 2017 disaster distribution was 
                                                    income in equal amounts over 3 years.            received on October 4, 2018, and you 
What’s New                                          You made a repayment of a qualified            choose to repay the distribution, the 
Coronavirus-related distributions.   Do             2017 disaster distribution in 2020.              repayment must be made before October 5, 
                                                                                                     2021.
not report coronavirus-related distributions 
on Form 8915-B. Coronavirus-related                 When and Where To File                           If you choose, you can generally repay to an 
distributions are reported on Form 8915-E,          File 2020 Form 8915-B with your 2020 Form        eligible retirement plan any portion of a 
Qualified 2020 Disaster Retirement Plan             1040, 1040-SR, or 1040-NR. If you are not        qualified 2017 disaster distribution that is 
Distributions and Repayments. If you were           required to file an income tax return but are    eligible for tax-free rollover treatment. Also, 
impacted by the coronavirus and you made            required to file 2020 Form 8915-B, sign Form     you can repay a qualified 2017 disaster 
withdrawals from your retirement plan in            8915-B and send it to the IRS at the same        distribution from a retirement plan made on 
2020 before December 31, you may have               time and place you would otherwise file 2020     account of hardship. However, see 
coronavirus-related distributions eligible for      Form 1040, 1040-SR, or 1040-NR.                  Exceptions below for qualified 2017 disaster 
special tax benefits on Form 8915-E.                                                                 distributions you can’t repay.
                                                      The timing of your repayments will 
Repayments.   The repayment period for a            determine whether you need to file an            You have 3 years from the day after the 
qualified 2017 disaster distribution ends 3         amended return to claim them. See                date you received the distribution to make a 
years and 1 day after the distribution was          Amending Form 8915-B, later.                     repayment. The amount of your repayment 
received. This is particularly important if your                                                     cannot be more than the amount of the 
qualified 2017 disaster distribution was                                                             original distribution. Amounts that are repaid 
received in 2017. Repayments reported on            Qualified 2017 Disaster                          are treated as a trustee-to-trustee transfer 
2020 Form 8915-B can be used to reduce              Distribution                                     and are not included in income. Also, for 
the income reportable on your 2017, 2018,                                                            purposes of the one-rollover-per-year 
2019, or 2020 tax return, as applicable; if you     What 2017 Disasters Are                          limitation for IRAs, a repayment to an IRA is 
have already filed your tax return for the year     Covered?                                         not considered a rollover.
in question, you will need to amend that 
return.                                             In order to have a qualified 2017 disaster       Include on 2020 Form 8915-B any 
                                                    distribution, you must have been adversely       repayments you make before filing your 2020 
                                                    affected by:                                     return. Any repayments you make will reduce 
Purpose of Form                                     Hurricane Harvey (which includes               the amount of qualified 2017 disaster 
Use 2020 Form 8915-B if you were                    Tropical Storm Harvey),                          distributions reported on your return for 
adversely affected by a 2017 disaster listed        Hurricane Irma,                                2020. Do not include on your 2020 Form 
in What 2017 Disasters Are Covered, later,          Hurricane Maria, or                            8915-B any repayments you make later than 
and you received a distribution that qualifies      The California wildfires.                      the due date (including extensions) for filing 
for favorable tax treatment. For distributions                                                       your 2020 return. See Amending Form 
for qualified 2016, 2018, 2019, and 2020            How Is a Qualified 2017                          8915-B, later. Also, any excess repayments 
disasters, see Form 8915-A, Qualified 2016          Disaster Distribution Taxed?                     you make for 2020 will be carried back to 
Disaster Retirement Plan Distributions and          Generally, a qualified 2017 disaster             one or more of your 2017, 2018, or 2019 
Repayments; Form 8915-C, Qualified 2018             distribution is included in your income in       returns, as applicable.
Disaster Retirement Plan Distributions and          equal amounts over 3 years. However, if you 
Repayments; Form 8915-D, Qualified 2019             elected, you could have included the entire      Exceptions.   You cannot repay the 
Disaster Retirement Plan Distributions and          distribution in your income in the year of the   following types of distributions.
Repayments; and Form 8915-E, Qualified              distribution. If you received more than one      1. Qualified 2017 disaster distributions 
2020 Disaster Retirement Plan Distributions         distribution during 2017 or 2018, you must       received as a beneficiary (other than a 
and Repayments, respectively, and their             have treated all the distributions for that year surviving spouse).
instructions.                                       the same way. Any repayments made before         2. Required minimum distributions.
   Qualified 2017 disaster distributions can't      you file your 2020 return and by the due date    3. Any distribution (other than from an 
be made in 2020. Only repayments of                 (including extensions) reduce the amount of      IRA) that is one of a series of substantially 
qualified 2017 disaster distributions can be        the distribution included in your income.        equal periodic payments made (at least 
made in 2020.                                       Qualified 2017 disaster distributions aren’t     annually) for:
                                                    subject to the additional 10% tax (or the 25% 
Note. Repayments of distributions from              additional tax for certain distributions from    a. A period of 10 years or more,
retirement plans (other than IRAs) are              SIMPLE IRAs) on early distributions.             b. Your life or life expectancy, or

Mar 09, 2021                                                     Cat. No. 71194R



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  c. The joint lives or joint life                                                                November 7, 2018, from your 401(k) plan. 
expectancies of you and your beneficiary.       Specific Instructions                             You had an economic loss due to Hurricane 
                                                                                                  Maria. On April 2, 2021, you repay $30,000 
Eligible retirement plan. An eligible           Married filers. If both you and your spouse       to your 401(k) plan. You file your return on 
retirement plan can be any of the following.    are required to file Form 8915-B, file a          April 10, 2021. Since the repayment was 
A qualified pension, profit-sharing, or       separate Form 8915-B for each of you.             made before you filed your 2020 return, not 
stock bonus plan (including a 401(k) plan).     Name and social security number (SSN).            later than the due date (including 
A qualified annuity plan.                     If you file a joint return, enter only the name   extensions), and before your 3-year 
A tax-sheltered annuity contract.             and SSN of the spouse whose information is        repayment period ended, you would enter 
A governmental section 457 deferred           being reported on the 2020 Form 8915-B.           the $30,000 repayment on line 5.
compensation plan.
A traditional, SEP, SIMPLE, or Roth IRA.      Foreign address.  If you have a foreign           Line 6.  Enter the total of lines 4 and 5.
                                                address, enter the city name on the                        If you repaid more than the amount 
                                                appropriate line. Do not enter any other                   on line 1 (including any excess 
Amending Form 8915-B                            information on that line, but also complete       CAUTION! repayments from 2019 on line 4), 
File Form 1040-X, Amended U.S. Individual       the spaces below that line. Do not abbreviate     you can carry forward the excess repayment 
Income Tax Return, to amend a return you        the country name. Follow the country's            from 2019 to 2020 Form 8915-B, but only if 
have already filed. Generally, Form 1040-X      practice for entering the postal code and the     you have not already carried back that 
must be filed within 3 years after the date the name of the province, county, or state.           excess to a prior year.
original return was filed, or within 2 years 
after the date the tax was paid, whichever is   Write at the top of page 1. Write the 
later.                                          following at the top of page 1 of Form 8915-B       Example.  You received a qualified 2017 
                                                if your qualified 2017 distributions relate to:   disaster distribution from a retirement plan 
  Depending on when a repayment is              Hurricane Harvey, Irma, or Maria:               other than an IRA in the amount of $90,000 
made, you may need to file an amended tax       “Hurricane”;                                      on November 15, 2017. You choose to 
return to refigure your taxable income.         The California wildfires: “Wildfires”; or       spread the $90,000 over 3 years ($30,000 in 
  If you make a repayment after timely filing   Both Hurricane Harvey, Irma, or Maria           income for 2017, 2018, and 2019). On June 
your 2020 tax return but by the due date of     and the California wildfires: “Hurricane and      10, 2019, you make a repayment of $40,000. 
your 2020 return (including extensions),        Wildfires.”                                       For 2019, none of the qualified 2017 disaster 
include the repayment on your amended                                                             distribution is included in income. On your 
                                                                                                  2019 Form 8915-B, you enter $40,000 on 
2020 Form 8915-B.                               Part I—Qualified 2017                             line 8 and $30,000 on line 3. You carried 
  If you make a repayment after the due         Disaster Distributions                            back the excess $10,000 ($40,000 -
date of your 2020 return (including                                                               $30,000) repayment to 2018. You transfer 
extensions), but before you timely file your    From Retirement Plans                             the amounts from your 2019 form to your 
2021 return, include the repayment on your      (Other Than IRAs)                                 2020 Form 8915-B as directed, entering 
2021 Form 8915-B if you are repaying a          Complete Part I if any of the following apply.    $40,000 on line 2 and $30,000 on line 3 of 
qualified 2018 disaster distribution received   You had an amount on your 2018 Form             that form. Your excess repayment from 2019 
in 2018. However, you may file an amended       8915B, line 11, and you did not check the         of $10,000 is entered on line 4 of your 2020 
2018 Form 8915B or an amended 2019 or           box on that line.                                 Form 8915-B. Because you have already 
2020 Form 8915-B, if either of the following    You made a repayment in 2020 of                 carried back the full $10,000 to 2018, you 
applies. (But see the examples below. Also,     qualified 2017 disaster distribution amounts      cannot carry forward that $10,000 to 2020. 
see the caution under Repayment of a            from line 10 of 2018 Form 8915B; or line 8 of     You cannot include that $10,000 on line 6.
Qualified 2017 Disaster Distribution, earlier,  2017 Form 8915B.
for limitations.)                                                                                 Part II—Qualified 2017 
You elected to include all of your qualified  Line 5. At any time during the 3-year period 
2017 disaster distributions in income           beginning 1 day after the date you received a     Disaster Distributions 
(instead of over 3 years) on your original      qualified 2017 disaster distribution, you can 
2017 or 2018 return.                            repay any portion of the distribution to an       From Traditional, SEP, 
You received a qualified 2017 disaster        eligible retirement plan that accepts rollover    SIMPLE, and Roth IRAs
distribution in 2017 or 2018 and included it in contributions. You cannot, however, repay         Complete Part II if any of the following apply.
income over 3 years. You can amend your         more than the amount of the original              You had an amount on your 2018 Form 
2017, 2018, 2019, or 2020 tax return, as        distribution. See Repayment of a Qualified        8915B, line 26, and you did not check the 
applicable.                                     2017 Disaster Distribution, earlier, for details. box on that line.
  Example 1.      You received a qualified        Enter on line 5 the amount of any               You made a repayment in 2020 of 
2017 disaster distribution in the amount of     repayments you made before filing your            qualified 2017 disaster distribution amounts 
$90,000 on October 16, 2018. You choose to      2020 return. Do not include any repayments        from line 25 of 2018 Form 8915B; or line 16 
spread the $90,000 over 3 years ($30,000 in     made later than the due date (including           of 2017 Form 8915B.
income for 2018, 2019, and 2020). On            extensions) for that return nor any               Line 12. At any time during the 3-year 
November 19, 2020, you make a repayment         repayments of nontaxable amounts. If you          period beginning 1 day after the date you 
of $40,000. For 2020, none of the qualified     repaid more than the amount on line 1             received a qualified 2017 disaster 
2017 disaster distribution is included in       (including any excess repayments from 2019        distribution, you can repay any portion of the 
income. The excess repayment of $10,000         on line 4), the excess can be carried back.       distribution to an eligible retirement plan that 
($40,000 - $30,000) can be carried back to      Repayments made after the due date of your        accepts rollover contributions. You cannot, 
2018 or 2019.                                   2020 return (including extensions) but before     however, repay more than the amount of the 
                                                the due date of your 2021 return (including       original distribution. See Repayment of a 
  Example 2.      You received a qualified      extensions) will generally be reported on         Qualified 2017 Disaster Distribution, earlier, 
2017 disaster distribution in the amount of     your 2021 Form 8915-B if you are repaying a       for details.
$90,000 on October 16, 2017. You choose to      qualified 2018 disaster distribution received 
spread the $90,000 over 3 years ($30,000 in     in 2018. However, you may have to file an           Enter on line 12 the amount of any 
income for 2017, 2018, and 2019). On            amended return in certain situations. See         repayments you made before filing your 
November 19, 2020, you make a repayment         Amending Form 8915-B, earlier.                    2020 return. Do not include any repayments 
of $75,000. You carry back $30,000 to 2019                                                        made later than the due date (including 
and $30,000 to 2018. You carry back               Example.   You received a $90,000               extensions) for that return nor any 
$15,000 to 2017.                                qualified 2017 disaster distribution on           repayments of nontaxable amounts. If you 

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repaid more than the amount on line 8            repayment of those qualified 2017 disaster     with these laws and to allow us to figure and 
(including any excess repayments from 2019       distributions in November 2020, a date that    collect the right amount of tax. You are 
on line 11), the excess can be carried back.     is not later than 3 years and 1 day after the  required to give us this information if you 
Repayments made after the due date of your       last qualified 2017 disaster distribution was  made certain contributions or received 
2020 return (including extensions) but before    received in 2017. That repayment should be     certain distributions from qualified plans, 
the due date of your 2021 return (including      entered on your 2020 Form 8915- , line 9, A    including IRAs, and other tax-favored 
extensions) will generally be reported on        and not on 2020 Form 8915- .B                  accounts. Our legal right to ask for the 
your 2021 Form 8915-B if you are repaying a                                                     information requested on this form is 
qualified 2018 disaster distribution received    Line 13. Enter the total of lines 11 and 12.   sections 6001, 6011, 6012(a), and 6109 and 
in 2018. However, you may have to file an                If you repaid more than the amount     their regulations. If you don’t provide this 
amended return in certain situations. See        !       on line 8 (including any excess        information, or you provide incomplete or 
Amending Form 8915-B, earlier.                   CAUTION repayments from 2019 on line 11) ,     false information, you may be subject to 
Example. You received a $60,000                  you can carry forward the excess repayment     penalties. You are not required to provide the 
qualified 2017 disaster distribution on          from 2019 to 2020 Form 8915-B, but only if     information requested on a form that is 
October 2, 2018, from your traditional IRA.      you have not already carried back that         subject to the Paperwork Reduction Act 
You had an economic loss due to Hurricane        excess to a prior year.                        unless the form displays a valid OMB control 
Harvey. On April 2, 2021, you repay $30,000      Example.    You received a qualified 2017      number. Books or records relating to a form 
to your traditional IRA. You file your return on disaster distribution from an IRA in the       or its instructions must be retained as long as 
April 10, 2021. Since the repayment was          amount of $90,000 on November 15, 2017.        their contents may become material in the 
made before you filed your 2020 return, not      You choose to spread the $90,000 over 3        administration of any Internal Revenue law. 
later than the due date (including               years ($30,000 in income for 2017, 2018,       Generally, tax returns and return information 
extensions), and before your 3-year              and 2019). On June 10, 2019, you make a        are confidential, as required by section 6103. 
repayment period ended, you would enter          repayment of $40,000. For 2019, none of the    However, we may give this information to the 
the $30,000 repayment on line 12.                qualified 2017 disaster distribution is        Department of Justice for civil and criminal 
        If, in 2020, you made a repayment of     included in income. On your 2019 Form          litigation, and to cities, states, the District of 
                                                 8915-B, you enter $40,000 on line 17 and       Columbia, and U.S. commonwealths and 
!       a qualified 2017 disaster distribution   $30,000 on line 12. You carried back the       possessions to carry out their tax laws. We 
CAUTION that you opted to claim on Part III of                                                  may also disclose this information to other 
2017 Form 8915A, Qualified 2016 Disaster         excess $10,000 ($40,000 - $30,000) 
Retirement Plan Distributions and                repayment to 2018. You transfer the            countries under a tax treaty, to federal and 
Repayments, any repayments of that               amounts from your 2019 form to your 2020       state agencies to enforce federal nontax 
distribution in 2020 must be claimed on 2020     Form 8915-B as directed, entering $40,000      criminal laws, or to federal law enforcement 
Form 8915- , Part II. They can't be claimed A    on line 9 and $30,000 on line 10 of that form. and intelligence agencies to combat 
on 2020 Form 8915- .B                            Your excess repayment from 2019 of             terrorism.
                                                 $10,000 is entered on line 11 of your 2020     The average time and expenses required 
Example. In 2017, you reported qualified         Form 8915-B. Because you have already          to complete and file this form will vary 
2016 disaster distributions on 2017 Form         carried back the full $10,000 to 2018, you     depending on individual circumstances. For 
8915A and qualified 2017 disaster                cannot carry forward that $10,000 to 2020.     the estimated averages, see the instructions 
distributions on 2017 Form 8915B. You            You cannot include that $10,000 on line 13.    for your income tax return.
elected to spread the repayments over 3                                                         If you have suggestions for making this 
years on both forms. You had to complete         Privacy Act and Paperwork Reduction            form simpler, we would be happy to hear 
2017 Form 8606; you chose to enter the           Act Notice. We ask for the information on      from you. See the instructions for your 
amounts from 2017 Form 8606, lines 15b           this form to carry out the Internal Revenue    income tax return.
and 25b, on 2017 Form 8915A, lines 22 and        laws of the United States. We need this 
23; and you entered -0- on 2017 Form             information to ensure that you are complying 
8915B, lines 13 and 14. You make a 

Instructions for Form 8915-B (2020)                          -3-






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