Guide To Your USAA Life Insurance Company
Forms 1099-INT and 1099-R
For Tax Year 2014
USAA is committed to providing accuracy in reporting tax information related to your life insurance
and annuity contracts and help in understanding how it is used.
In this guide you will find:
• a general overview of tax reporting requirements.
• methods used to determine reported distributions from your contracts with
USAA Life Insurance Company.
• the way the IRS treats distributions from your contracts.
• the way the IRS treats income on your contracts.
• a description and explanation of the 1099-R tax form related to your contract.
If applicable to your Life Insurance Company contract, you may have received Form 1099-INT
and Form 1099-R.
The information in this brochure is not legal or tax advice. We recommend that you consult
your legal and tax advisors if you need advice regarding your specific situation.
If a tax advisor prepares your income tax return, we encourage you to include the instructions for
recipient when providing copies of your form(s) 1099.
Tax Return Assistance on usaa.com
From the usaa.com home page, select the “Documents” tab to sign up to receive your tax forms
electronically in the future.
In addition to the information in this guide, on usaa.com/taxes you may:
• view and print your USAA Life Insurance Company form(s) 1099.
• read articles on recent tax law changes.
• access other tools and information to answer general tax questions and help you complete
your tax return.
• link to IRS publications and forms.
1
USAA Number
Form 1099-INT
Date
See TaxHelp at usaa.com
Customer Service: 1-800-531-6347
FORM 1099-INT
CORRECTED (if checked)
This form is in a format prescribed by the IRS. It has been modified for clarity by USAA Investment Management Company.
1 Interest income
PAYER’S name, street address, city, state, and ZIP code
USAA TAX
EXEMPTSAVINGS
INTERMEDIATE-TERM
FUND
USAA
FEDERAL
BANK
9800 USAA
FREDERICKSBURG
ROAD CO.
C/O
LIFE INSURANCE
SAN ANTONIO,
TX 78288
9800
FREDERICKSBURG
ROAD
SAN ANTONIO, TX 78288
PAYER’S federal
Federal identification
identification
PAYER’S
number
number
74-2461286
74-6393739
RECIPIENT’S identification
number
123-45-6789
RECIPIENT’S name
MEMBER NAME
OMB No. 1545-0112
A
$
3 Interest on U.S. Savings
Bonds and Treas. obligations
$
Form 1099-INT
4 Federal income tax
withheld
$
5 Investment expenses
$
6 Foreign tax paid
Interest Income
14
$
2 Early withdrawal penalty
7 Foreign country or
U.S. possession
Copy B
For Recipient
This is important tax information and is
being furnished to the Internal Revenue
Service. If you are required to file a
return, a negligence penalty or other
sanction may be imposed on you if this
income is taxable and the IRS
determines that it has not been reported.
$
Account number
8 Tax-exempt interest
9 Specified private
activity bond interest
44-44900123456
$
$
(keep for your records.)
Instructions for Recipient
Account number. May show an account or other unique number the
payer assigned to distinguish your account.
Box 1. Shows taxable interest paid to you during the calendar year by the
payer. This does not include interest shown in box 3.
Box 2. Shows interest or principal forfeited because of early withdrawal of
time savings. You may deduct this amount to figure your adjusted gross
income on your income tax return. See the instructions for Form 1040 to
see where to take the deduction.
Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury
bonds, and Treasury notes. This may or may not be all taxable. See Pub.
550, Investment Income and Expenses. This interest is exempt from state
and local income taxes. This interest is not included in box 1.
Box 4. Shows backup withholding. Generally, a payer must backup
withhold at a 28% rate if you did not furnish your taxpayer identification
number (TIN) or you did not furnish the correct TIN to the payer. See
Form W-9, Request for Taxpayer Identification Number and Certification,
for information on backup withholding. Include this amount on your
income tax return as tax withheld.
Box 5. Any amount shown is your share of investment expenses of a
single-class REMIC. If you file Form 1040, you may deduct these
expenses on the “Other expenses” line of Schedule A (Form 1040) subject
to the 2% limit. This amount is included in box 1.
Form 1099-INT What is it?
Who receives it?
Where is it reported?
Box 6. Shows foreign tax paid. You may be able to claim this tax as a
deduction or a credit on your Form 1040. See your Form 1040 instructions.
Box 8. Shows tax-exempt interest, including exempt-interest dividends
from a mutual fund or other regulated investment company, paid to you
during the calendar year by the payer. Report this amount on line 8b of
Form 1040 or Form 1040A. This amount may be subject to backup
withholding. See box 4.
Box 9. Shows tax-exempt interest subject to the alternative minimum tax.
This amount is included in box 8. See the Instructions for Form 6251,
Alternative Minimum Tax – Individuals.
Nominees. If this form includes amounts belonging to another person(s),
you are considered a nominee recipient. Complete a Form 1099-INT for
each of the other owners showing the income allocable to each. File Copy
A of the form with the IRS. Furnish Copy B to each owner. List yourself
as the “payer” and the other owner(s) as the “recipient.” File Form(s)
1099-INT with Form 1096, Annual Summary and Transmittal of U. S.
Information Returns, with the Internal Revenue Service Center for your
area. On Form 1096 list yourself as the “filer.” A husband or wife is not
required to file a nominee return to show amounts owned by the other.
We are required to report taxable interest income to the IRS.
This form shows the taxable interest earned throughout the year.
A Form 1099-INT will be generated for all accounts to which taxable
interest was paid; such as interest on accumulated dividends and interest
on delayed death benefits. Business owned accounts and accounts with
interest totaling less than $10 that have no tax withholdings will not
receive a Form 1099-INT. You are required to report all of your interest
even though you will not receive a Form 1099-INT.
Your taxable interest is shown in box 1 A, and you report it on line 8a
of form 1040 or 1040A.
2
Form 1099-R
USAA FEDERAL SAVINGS BANK
C/O USAA LIFE INSURANCE CO.
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78288
The Form 1099-R you receive from USAA Life Insurance Company provides
information to you and the IRS regarding distributions from your:
Form 1099-R What is it?
• IRAs (Traditional, Roth and SEP)
• 403(b), Tax Sheltered Annuity (TSA) and
Optional Retirement Annuity (ORP)
• Keogh plans
• non-qualified annuity
• life insurance contract
Form 1099-R is delivered to account holders who had total or partial
distributions in 2014 from these types of accounts. Conversions and
recharacterizations, and certain other transactions, are also shown
on Form 1099-R.
A conversion is a distribution of money from a traditional, SEP or
SIMPLE IRA that is rolled over to a Roth IRA.
Who receives it?
Recharacterization refers to the treatment of a contribution to one
type of IRA as having been made to a different type of IRA, or to the
treatment of a conversion to a Roth IRA as though it had not occurred.
An external 1035 exchange is a reportable (tax free) replacement
of an insurance policy for another insurance contract covering the
same person that is performed in accordance with the conditions
of Section 1035 of the Internal Revenue Code.
A dividend on a participating life insurance contract is reportable
and taxable once the total dividends paid out on a policy has
exceeded the total premiums paid into the policy.
You will use information from Form 1099-R when completing IRS form
1040 or 1040A, and you may also need to report it on one or more of
these IRS forms:
Where is it reported?
• Form 8606 (Nondeductible IRAs)
• Form 4972 (Tax on Lump-Sum
Distributions)
• Form 5329 (Additional Taxes on
Qualified Plans [Including IRAs]
and Other Tax-Favored Accounts)
3
Form 1099-R
USAA FEDERAL SAVINGS BANK
C/O USAA LIFE INSURANCE CO.
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78288
Form 1040
Refer to the IRS
instruction book
for IRS Form
1040 for more
information.
Account Distributions
Taxable Life
Insurance Dividends
The amount in box 1 of Form 1099-R should be reported on line 15a or 16a
of IRS Form 1040 or line 11a or 12a of IRS Form 1040A. (Special reporting
rules may apply for direct distributions to qualified charities made by
taxpayers age 70 1/2 or over. See IRS instructions for form 1040 or 1040A.)
A dividend on a participating life insurance contract is reportable and
taxable once the total dividends paid out on a policy has exceeded the
total premiums paid into the policy.
NOTE: The amount in Box 1 of Form 1099-R received as a result of
a taxable life insurance dividend should be reported on line 16a.
4
Form
8606
Form
1099-R
Department
of the Treasury
Nondeductible IRAs
▶
OMB No. 1545-0074
Information about Form 8606 and its separate instructions is at www.irs.gov/form8606.
▶ Attach
Internal Revenue Service (99)
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
2014
Attachment
Sequence No. 48
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.
Foreign country name
Foreign province/state/county
Foreign postal code
USAA FEDERAL SAVINGS BANK
C/O USAA LIFE INSURANCE CO.
Part
Nondeductible
Contributions to Traditional IRAs and Distributions From Traditional, SEP, and SIMPLE IRAs
9800I FREDERICKSBURG
ROAD
Complete
this part only if one or more of the following apply.
SAN ANTONIO,
TX 78288
• You made nondeductible contributions to a traditional IRA for 2014.
• You took distributions from a traditional, SEP, or SIMPLE IRA in 2014 and you made nondeductible contributions to a
traditional IRA in 2014 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 2014 (excluding any portion
Form 8606you recharacterized) and you made nondeductible contributions to a traditional IRA in 2014 or an earlier year.
1
Enter your nondeductible contributions to traditional IRAs for 2014, including those made for 2014
from January 1, 2015, through April 15, 2015 (see instructions) . . . . . . . . . . . .
1
OMB No. 1545-0074
Nondeductible
IRAs
2
Enter
your
total
basis
in
traditional
IRAs
(see
instructions)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
2
Form
3
Add lines 1 and 2 ▶.Information
. . . .about
. .Form
. 8606
. . and
. its
. separate
. . . instructions
. . . . is. at. www.irs.gov/form8606.
. . . . . .
3
DepartmentInof2014,
the Treasury
No
▶
Enter
the amount
line 3 on line 14.
did you take a distribution
Attachment
Attach to Form 1040,▶Form
1040A,
or Formfrom
1040NR.
Internal Revenue Service (99)
Sequence No. 48
Do not complete the rest of Part I.
from traditional, SEP, or SIMPLE IRAs,
Name. If married, file a separate form for each spouse required to file Form 8606. See instructions.
Your social security number
or make a Roth IRA conversion?
Yes
Go
to
line
4.
▶
4
Enter those contributions included on line 1 that were made from January 1, 2015, through April 15, 2015
4
Home address (number and street, or P.O. box if mail is not delivered to your home)
Apt. no.
5
Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . .
5
Fill in Your Address Only
6
Enter the value of all your traditional, SEP, and SIMPLE IRAs as of
City, town or post office, state, and ZIP code. If you have a foreign address, also complete the spaces below.
If You Are Filing This
December 31, 2014, plus any outstanding rollovers (see instructions) . .
6
Form by Itself and Not
7
Enter your distributions from
traditional,
SEP,
and
SIMPLE
IRAs
in
Foreign country name
Foreign province/state/county
Foreign postal code
With Your Tax Return
2014. Do not include rollovers, a one-time distribution to fund an HSA,
conversions to a Roth IRA, certain returned contributions, or
Part Irecharacterizations
Nondeductible
Contributions
to Traditional
and Distributions
From Traditional, SEP, and SIMPLE IRAs
of traditional
IRA contributions
(seeIRAs
instructions)
.
7
Complete this part only if one or more of the following apply.
8
Enter the net amount you converted from traditional, SEP, and SIMPLE
• You made nondeductible contributions to a traditional IRA for 2014.
IRAs to Roth IRAs in 2014. Do not include amounts converted that you
• You took distributions
from a traditional,
SEP,amount
or SIMPLE
IRA
later recharacterized
(see instructions).
Also enter this
on line
16in. 20148 and you made nondeductible contributions to a
traditional IRA in 2014 or an earlier year. For this purpose, a distribution does not include a rollover, one-time
9
Add lines 6, 7, and 8 . . . . . . . .
9
distribution to fund an HSA, conversion, recharacterization, or return of certain contributions.
10
Divide line 5 by line 9. Enter the result as a decimal rounded to at least
• You converted part, but not all, of your traditional, SEP, and SIMPLE IRAs to× Roth IRAs
in 2014 (excluding any portion
.
3 places. If the result is 1.000 or more, enter “1.000” . . . . . .
10
you recharacterized) and you made nondeductible contributions to a traditional IRA in 2014 or an earlier year.
11
Multiply line 8 by line 10. This is the nontaxable portion of the amount
1 you
Enter
your nondeductible
contributions
to traditional
IRAs
converted
to Roth IRAs.
Also enter this
amount on
linefor
17 2014,
. . including
.
11 those made for 2014
from January 1, 2015, through April 15, 2015 (see instructions) . . . . . . . . . . . .
1
12
Multiply line 7 by line 10. This is the nontaxable portion of your
2
Enter your total basis in traditional IRAs (see instructions) . . . . . . . . . . . . . .
2
distributions that you did not convert to a Roth IRA . . . . . . .
12
3
Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
13
Add lines 11 and 12. This is the nontaxable portion of all your distributions . . . . . . . .
13
No
▶ Enter the amount from line 3 on line 14.
In 2014, did you take a distribution
14
Subtract line 13 from line 3. This is your total basis in traditional IRAs for 2014 and earlier years
14
Do not complete the rest of Part I.
from traditional, SEP, or SIMPLE IRAs,
15
Taxable
amount.
Subtract
line
12
from
line
7.
If
more
than
zero,
also
include
this
amount
on
Form
or make a Roth IRA conversion?
Yes
Go to line 4. IRA contributions for 2014 or in previous
▶ nondeductible
If you made
1040, line 15b; Form 1040A, line 11b; or Form 1040NR, line 16b . . . . . . . . . . . .
15
4
Enter those contributions included on line 1 thatyears,
were made
from January
1, 2015,
through
April 15, 2015 on IRS
4 Form 8606
report
amount
contributions
Note. You may be subject to an additional 10%
tax
on thethe
amount
on of
linethese
15 if you
were under
5 age
Subtract
line
4
from
line
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
5 of your
(Nondeductible IRAs) to determine the taxable portion
59½ atIRA
the time
of the distribution (see instructions).
Nondeductible
Contributions
6
Enter
the
value
of
all
your
traditional,
SEP,
and
SIMPLE
IRAs
as
of
Form1099-R
8606 (2014)
For Privacy Act and Paperwork Reduction Act Notice, see
separate instructions.
No. 63966F
distribution.
Report the distributionCat.
amount
from box 1 of Form
December 31, 2014, plus any outstanding rollovers (see instructions) . .
6
on line 7 or 8 of Form 8606.
7
Enter your distributions from traditional, SEP, and SIMPLE IRAs in
2014. 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) .
7
8606
2014
▲
8
9
10
11
Enter the net amount you converted from traditional, SEP, and SIMPLE
IRAs to Roth IRAs in 2014. Do not include amounts converted that you
later recharacterized (see instructions). Also enter this amount on line 16 .
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” . . . . . .
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 . . .
8
10
11
×
.
5
Form 1099-R
USAA FEDERAL SAVINGS BANK
C/O USAA LIFE INSURANCE CO.
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78288
Form
5329
Department of the Treasury
Internal Revenue Service (99)
Additional Taxes on Qualified Plans
(Including IRAs) and Other Tax-Favored Accounts
2014
Attach to Form 1040 or Form 1040NR.
▶
▶
OMB No. 1545-0074
Information about Form 5329 and its separate instructions is at www.irs.gov/form5329.
Attachment
Sequence No. 29
Your social security number
Name of individual subject to additional tax. If married filing jointly, see instructions.
Home address (number and street), or P.O. box if mail is not delivered to your home
Form by Itself and Not
With Your Tax Return
5329
▲
Fill in Your Address Only
Form
If You 5329
Are Filing This
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
Apt. no.
If this is an amended
return, check here ▶
Foreign postal code
OMB No. 1545-0074
Additional Taxes on Qualified Plans
Form
(Including IRAs) and Other Tax-Favored Accounts
If you only owe the additional 10% tax on early distributions, you may be able to report this tax directly on Form 1040, line 59, or
2014
Form 1040NR, line 57, without filing Form 5329. ▶
See the instructions for Form 1040, line 59, or for Form 1040NR, line 57.
Department of the Treasury
Part I Additional
Internal Revenue Service (99)
Attach to Form 1040 or Form 1040NR.
Tax
on Early Distributions
▶ Information about Form 5329 and its separate instructions is at www.irs.gov/form5329.
Attachment
Sequence No. 29
▲
Complete this part if you took a taxable distribution before you reached age 59½ from a qualified retirement plan (including an
Name of individual
to additional
tax. If married
filing jointly,
seeyou
instructions.
Your
social securityabove).
number You
IRA) subject
or modified
endowment
contract
(unless
are reporting this tax directly on Form 1040 or Form
1040NR—see
may also have to complete this part to indicate that you qualify for an exception to the additional tax on early distributions or for
certain Roth IRA distributions
(see instructions).
Home address
(number and street), or P.O. box if mail is not delivered to your home
Apt. no.
1
Early distributions included in income. For Roth IRA distributions, see instructions . . . . . .
1
EarlyAddress
distributions
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line or1 post
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Fill2in Your
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Enter
the appropriate
exception
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from
the instructions:
. . . . . . . . .
2
is an amended
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Itself and
Notto additional tax. Subtract line 2 from line 1 . . . . . . . . . . . . . If this
3 by
Amount
subject
3
return, check here ▶
With
Your
Tax
Return
4
Additional tax. Enter 10% (.10)
of line
3. Include
59, or Form 1040NR, line 57 Foreign
4 postal code
Foreign
country
name this amount on Form 1040,
Foreignline
province/state/county
Caution: If any part of the amount on line 3 was a distribution from a SIMPLE IRA, you may have
Formof1099-R
the code for the distribution you received.
to include 25% of that amount onBox
line 74 of
instead
10% (seeidentifies
instructions).
IfPart
you only
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early distributions,
you
may be able
to report this tax directly on Form 1040, line 59, or
II
Additional
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on
Certain
Distributions
From
Education
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See
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7, of
1099-R
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an explanation
FormDistribution
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without filing Form
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for Form
1040NR,
57.
this
part
you included
an amount in income, on Form 1040 or Form 1040NR, line 21, from a Coverdell
of the code(s).
Part I Complete
Additional
Tax
onifEarly
Distributions
education this
savings
(ESA)
or a qualified
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Complete
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certain Roth IRA distributions (see instructions).
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Amount subject to additional tax.inSubtract
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from
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.
.
.
.
.
.
.
.
.
.
.
.
.
7
general,
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1
Early distributions included in income.
For Roth
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instructions
. .may
. .be. required
1
8
Additional tax. Enter 10% (.10) of line 7. Include this amount on Form 1040, line 59, or Form 1040NR, line 57
8
5329
(Additional
Taxes
on
Qualified
Plans
[Including
IRAs]
and
Other
Tax-Favored
2
Early distributions included on line 1 that are not subject to the additional tax (see instructions).
Part III Additional Tax on Excess Contributions to Traditional IRAs
Enter the appropriate exception number
from
the
instructions:
.
.
.
.
.
.
.
.
.
2
Accounts).
amount
box
2athan
of your
Form 1099-R
on an
Form
5329,
line 1.
Complete this part if you contributed
moreReport
to your the
traditional
IRAsinfor
2014
is allowable
or you had
amount
on line
3
Amount
to additional
tax. Subtract line 2 from line 1 . . . . . . . . . . . . .
3
17 ofsubject
your 2013
Form 5329.
4Distribution
Additional tax.Code
Enter 10%
3. Include as
thisexplained
amount on Form
1040, line 59,
or Form
1040NR, line 57
4 exceptions to the
1 (.10) of line
However,
in the
5329
certain
Enter your excess contributions from
line 16 of your
2013 Form 5329
(see Form
instructions).
Ifinstructions,
zero, go to line 15
9
9
Caution: If any part of the amount on line 3 was a distribution from a SIMPLE IRA, you may have
additional
tax
apply
with
respect
to
qualified
withdrawals
for
first-time homebuyers’
10
If
your
traditional
IRA
contributions
for
2014
are
less
than
your
to include 25% of that amount on line 4 instead of 10% (see instructions).
maximum allowable contribution,expenses,
see instructions.
Otherwise,
enter
-010
higher
education
expenses,
medical insurance premiums and deductible
Part II Additional Tax on Certain Distributions
From
Education
Accounts
11
2014 traditional IRA distributions included in income (see instructions) .
11
medicalanexpenses.
Ifincome,
your Form
1099-R
shows
distribution
code
in box
7 and you
Complete
this
part
if
you
included
amount
in
on
Form
1040
or Form
1040NR, line
21, 1from
a Coverdell
12
2014 distributions of prior year excess contributions (see instructions) .
12
education savings account (ESA)
or
a
qualified
tuition
program
(QTP).
13
Add lines 10, 11, and 12 . . . qualify
. . .for. an
. exception
. . . . to
. the
. . additional
. . . . tax,
. . you
. .should
. . file
13 Form 5329 and report
5
Distributions included in income from Coverdell ESAs and QTPs . . . . . . . . . . . .
5
14
Prior year excess contributions. Subtract
line 13from
from line
9.2a
If zero
or less,
enter
-0- . that
. . can
. . be 14
the
amount
box
of
your
Form
1099-R
excluded
on Form 5329,
6
Distributions included on line 5 that are not subject to the additional tax (see instructions) . . .
6
15
Excess contributions for 2014 (see
instructions)
.
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15
2. line 6 from line 5 . . . . . . . . . . . . .
7
Amount subject to additional tax.line
Subtract
7
16
Total excess contributions. Add lines 14 and 15 . . . . . . . . . . . . . . . . .
16
8
Additional tax. Enter 10% (.10) of line 7. Include this amount on Form 1040, line 59, or Form 1040NR, line 57
8
17
Additional tax. Enter 6% (.06) of the smaller of line 16 or the value of your traditional IRAs on December 31, 2014
Part III Additional Tax on Excess Contributions to Traditional IRAs
(including 2014 contributions made inReports
2015). Include
this amountfrom
on Form
1040, line 59, orannuities
Form 1040NR,
linedistributions
57 .
17
payments
nonqualified
and
from life insurance
Complete
this part
if you contributed more to your traditional IRAs for 2014 than is allowable or you had an amount on line
Distribution
Code
D on
Part
IV 17
Additional
Tax
Excess
Contributions
to
Roth
IRAs
of your 2013 Form 5329. contracts that may be subject to the net investment income tax.
Complete this part if you contributed more to your Roth IRAs for 2014 than is allowable or you had an amount on line 25 of your 2013 Form 5329.
Enter your excess contributions from line 16 of your 2013 Form 5329 (see instructions). If zero, go to line 15
9
9
18
Enter your excess contributions from line 24 of your 2013 Form 5329 (see instructions). If zero, go to line 23
18
10
If your traditional IRA contributions for 2014 are less than your
19
If your Roth IRA contributions for 2014 are less than your maximum
maximum allowable contribution, see instructions. Otherwise, enter -010
allowable contribution, see instructions. Otherwise, enter -0- . . . .
19
11
2014 traditional IRA distributions included in income (see instructions) .
11
20
2014 distributions from your Roth IRAs (see instructions) . . . . .
20
12
2014 distributions of prior year excess contributions (see instructions) .
12
21
Add lines 19 and 20 . . . . . . . . . . . . . . . . . . . . . . . . . .
21
6
Form 1099-R
USAA FEDERAL SAVINGS BANK
C/O USAA LIFE INSURANCE CO.
9800 FREDERICKSBURG ROAD
SAN ANTONIO, TX 78288
State Income Tax
Any state income tax withheld from account distributions will be shown
in box 12. For more information on retirement account distributions, see
IRS Publication 590 (Individual Retirement Arrangements).
7
Frequently Asked Questions
State Tax Reporting
Q. Does USAA report any tax information to the states for state income tax purposes?
A. Tax information is required to be provided to some states and the District of Columbia. USAA Life Insurance
Company participates in the combined federal and state tax filing with the IRS, which in turn forwards this
information to the District of Columbia and these states:
Alabama
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Georgia
Hawaii
Idaho
Indiana
Kansas
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
New Jersey
New Mexico
North Carolina
North Dakota
Ohio
South Carolina
Utah
Vermont
Virginia
Wisconsin
USAA Life Insurance Company also files directly, when required, to these states and territories:
Arkansas
California
Delaware
Guam
Idaho
Kansas
Maine
Mariana Islands
Massachusetts
Michigan
Montana
New Jersey
New York
North Carolina
North Dakota
Oklahoma
Puerto Rico
Virgin Islands
105262-0115
8