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Instructions for Participant Box 12a. Shows the date by which the RMD amount in box 12b must be distributed to
The information on Form 5498 is submitted to the IRS by the trustee or issuer of your avoid the 50% excise tax on the undistributed amount for 2023.
individual retirement arrangement (IRA) to report contributions, including any catch-up Box 12b. Shows the amount of the RMD for 2023. If box 11 is checked and there is no
contributions, required minimum distributions (RMDs), and the fair market value (FMV) amount in this box, the trustee or issuer must provide you the amount or offer to
of the account. For information about IRAs, see Pubs. 590-A, 590-B, and 560. calculate the amount in a separate statement by January 31, 2023.
Participant’s taxpayer identification number (TIN). For your protection, this form Box 13a. Shows the amount of a late rollover contribution (more than 60 days after
may show only the last four digits of your TIN (SSN, ITIN, ATIN, or EIN). However, the distribution) made in 2022 and certified by the participant, or a postponed contribution
trustee or issuer has reported your complete TIN to the IRS. made in 2022 for a prior year. This amount is not reported in box 1 or 2.
Account number. May show an account or other unique number the trustee or issuer Box 13b. Shows the year to which the postponed contribution in box 13a was
assigned to distinguish your account. credited. If a late rollover contribution is shown in box 13a, this box will be blank.
Box 1. Shows traditional IRA contributions for 2022 you made in 2022 and through Box 13c.For participants who made a postponed contribution due to an extension of the
April 18, 2023. These contributions may be deductible on your Form 1040 or 1040-SR. contribution due date because of a federally designated disaster, shows the code FD.
However, if you or your spouse was an active participant in an employer’s pension For participants who served in designated combat zones, qualified hazardous duty areas,
plan, these contributions may not be deductible. This box does not include amounts in or direct support areas, shows the appropriate code. The codes are: EO13239 for
boxes 2–4, 8–10, 13a, and 14a. Afghanistan and associated direct support areas, EO12744 for the Arabian Peninsula areas,
Box 2.Shows any rollover, including a direct rollover to a traditional IRA or Roth IRA, or a PL115-97 for the Sinai Peninsula of Egypt, and EO13119 (or PL106-21) for the Yugoslavia
qualified rollover contribution (including a military death gratuity or SGLI payment) to a operations areas. For additional information, including a list of locations within the
Roth IRA you made in 2022. It does not show any amounts you converted from your designated combat zones, qualified hazardous duty areas, and direct support areas, see
traditional IRA, SEP IRA, or SIMPLE IRA to a Roth IRA. They are shown in box 3. It does Pub. 3. For updates to the list of locations, gowww.irs.gov/Newsroom/Combat-Zones.to
not show any late rollover contributions. They are shown in box 13a. See the Form 1040 For a participant who makes a rollover of a qualified plan loan offset, shows the code PO.
or 1040-SR instructions for information on how to report rollovers. If you have ever made For a participant who has used the self-certification procedure for a late rollover
any nondeductible contributions to your traditional IRA or SEP IRA and you did not roll contribution, shows the code SC.
over the total distribution, use Form 8606 to figure the taxable amount. If property was Box 14a. Shows the amount of any repayment of a qualified reservist distribution, a
rolled over, see Pub. 590-A. For a qualified rollover to a Roth IRA, also see Pub. 590-A. qualified disaster distribution, or a qualified birth or adoption distribution. See Pub.
Box 3. Shows the amount converted from a traditional IRA, SEP IRA, or SIMPLE IRA 590-A for reporting repayments.
to a Roth IRA in 2022. Use Form 8606 to figure the taxable amount. Box 14b. Shows the code QR for the repayment of a qualified reservist distribution,
Box 4. Shows amounts recharacterized from transferring any part of the contribution code DD for repayment of a qualified disaster distribution, or code BA for repayment
(plus earnings) from one type of IRA to another. See Pub. 590-A. of a qualified birth or adoption distribution.
Box 5. Shows the FMV of all investments in your account at year end. However, if a Box 15a. Shows the FMV of the investments in the IRA that are specified in the
decedent’s name is shown, the amount reported may be the FMV on the date of categories identified in box 15b.
death. If the FMV shown is zero for a decedent, the executor or administrator of the Box 15b. The following codes show the type(s) of investments held in your account for
estate may request a date-of-death value from the financial institution. which the FMV is required to be reported in box 15a.
Box 6. Shows for endowment contracts only the amount allocable to the cost of life A—Stock or other ownership interest in a corporation that is not readily tradable on an
insurance. Subtract this amount from your allowable IRA contribution included in box 1 established securities market.
to compute your IRA deduction.
Box 7. May show the kind of IRA reported on this Form 5498. B—Short- or long-term debt obligation that is not traded on an established securities market.
Boxes 8 and 9. Show SEP (box 8) and SIMPLE (box 9) contributions made in 2022, C—Ownership interest in a limited liability company or similar entity (unless the
including contributions made in 2022 for 2021, but not including contributions made in interest is traded on an established securities market).
2023 for 2022. If made by your employer, do not deduct on your income tax return. If D—Real estate.
you made the contributions as a self-employed person (or partner), they may be E—Ownership interest in a partnership, trust, or similar entity (unless the interest is
deductible. See Pub. 560. traded on an established securities market).
Box 10. Shows Roth IRA contributions you made in 2022 and through April 18, 2023. F—Option contract or similar product that is not offered for trade on an established
Do not deduct on your income tax return. option exchange.
Box 11. If the box is checked, you must take an RMD for 2023. An RMD may be G—Other asset that does not have a readily available FMV.
required even if the box is not checked. If you do not take the RMD for 2023, you are H—More than two types of assets (listed in A through G) are held in this IRA.
subject to a 50% excise tax on the amount not distributed. See Pub. 590-B for details.
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